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Membership application and renewal
Click
here to download in
Word format.
Dues
( ) $15 Single, one year,
through January 2009
( ) $25 Single, two
years, through January 2010
( ) $25 Family, one
year, through January 2009
( ) $40 Family, two
years, through January 2010
Print this page and mail completed
application along with payment to:
Tri State Jack Russell Terrier Club
c/o Mary James
145 Carpenter Rd.
Castle Rock, WA 98611
Name________________________________________________________________________
Address______________________________________________________________________
City______________________________________________________ State _____Zip_____
Phone________________________________________________________________________
Email_________________________________________________________________________
Fax__________________________________________________________________________
Is this a
renewal?______________________________________________________________
Do you belong to any other Jack Russell Terrier
organization?__________________________
If so, which
ones?_______________________________________________________________
To save mailing and printing
costs, would you prefer to have the newsletter emailed to you?
___________________________________
Would you be interested in
volunteering?
Fun days: Setup_____ Events _____Teardown _____Raffle___
Trials: Go-to-ground _____Racing _____Conformation _____Agility _____Raffle _____Setup or
Tear down _____Hospitality_____
Check-in _____Ring Steward _____Other_____
The TSJRTC is affiliated with
the JRTCA and abides by all objectives and purposes stated the JRTCA
constitution. I/We hereby apply and agree to abide by the objectives
and purposes set forth, and that I/We do not belong to a conflicting JRT
organization nor register my JRT'S with any other kennel club.
Signature _______________________________________________________________Date
signed___________________________
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