Membership Application or Renewal, January 1, 2010 – December 31, 2010

Yes, I want to renew my membership for 2010.  Here is my information.   

 

  Name:                                                                                               

 

  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

 

Text Box: Please return form with 2010 dues payment of $20.00 (payable to AMDCA) to: Deb Schneider, DVM, W 7112 Cherry Hill Dr, Adell WI 53001 USA. U.S. and Canadian residents dues are $US 20.00. 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 www.appenzeller.org.  Please contact the club with any questions.