MEMBERSHIP APPLICATION
Just print a copy of this application and mail to the address at the bottom of the form
NORTHERN CAL APBT CLUB MEMBERSHIP FORM
NAME(S)____________________________________
ADDRESS ___________________________________
CITY _________________STATE______ZIP_______
HOW MANY AMERICAN PIT BULL TERRIERS DO YOU OWN?____
ARE YOU WILLING TO BE OF SERVICE TO THE CLUB?______
_____ SINGLE MEMBERSHIP $20.00
_____ JR MEMBERSHIP(5-18 YRS)WITH ADULT SPONSOR $10
_____ FAMILY MEMBERSHIP $30.00
_____ SENIORS $12.00 (OVER 65 YEARS)
Please read this statement before you sign your name:
"NO INDIVIDUAL OR GROUP OF INDIVIDUALS KNOWN TO PROMOTE, SUPPORT, RAISE DOGS FOR FIGHTING, CONDONE OR BE ASSOCIATED WITH THE FACING OFF, GAME TESTING, ROLLING OR PITTING OF DOGS WILL BE TOLERATED OR ALLOWED MEMBERSHIP IN THIS CLUB. SUCH INDIVIDUALS WILL BE BANNED FROM ALL UKC EVENTS AND CLUBS WITH NO REINSTATEMENT AT ANY TIME."
_________________________ ________________
SIGNATURE DATE
SEND COMPLETED APPLICATION AND CHECK OR MONEY ORDER PAYABLE TO:
NORTHERN-CAL APBT CLUB
C/O TERESA PAUL
PO BOX 2742
SO. SAN FRANCISCO, CA 94083
*Note: Dues are to be paid once a year on January 1st with a grace period of 30 days.
