AMDCA Membership Application or Renewal

January 1, 2015 December 31, 2015


Yes, I want to renew my membership for 2015. Here is my information.




Address: _________________________



Phone Number:


email address: ______________________________


AMDCA wants to enable communication between members. We respect your privacy.

Please check the box(es) if you grant permission to share your contact information with other AMDCA members.

Okay to share Name and Address with other AMDCA members:


Okay to share Email with other AMDCA members:


About Appenzeller(s) in my household (name, age, gender):







I want to do more! I am most interested in (check all that apply):

Answering e-mail inquiries Breed Registry

Member communications Special Events

Club governance Rescue

Website Other


Please return form with 2015 dues payment (payable to AMDCA) to:

Malena Brisbois, 7469 Greenwich Rd, Nokesville VA 20181 USA.


U.S. and Canadian residents dues are $US 25.00 individual membership, or $30 family membership. Other international addresses, dues are $US 25.00.


Breeders, please note! AMDCA is a Code of Ethics breed club. The Code of Ethics is found on Please contact the club with any questions.