Membership Application JOIN TODAY!

Name:______________________________________________

Address:_____________________________________________

Phones: Residence ( ) ____________ Work ( ) ______________

Facsimile: ( ) ___________ Email Address: ___________________________

Occupation: _____________________ Breed(s)__________________________

AREAS OF INTEREST:
Conformation__ Obedience__ Agility__ Tracking__ Therapy Dogs__ Breeding__ Other __________________________________

Dog related organizations to which you belong ___________________________ ___________________________________________________________________

Why do you wish to become a member of GMDC? ________________________ ___________________________________________________________________

We expect every club member to be an active member. Areas in which you would like to help:
Matches__ Trophies__ Education__ Canine Good Citizen__ Hospitality__ Publicity__ Membership__ Training__ Other ___________________________________________________________

Applicant's Signature: ______________________________Date: ____________

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DUES: $10.00 Annually

Make check payable to:
Greater Miami Dog Club:
Send to Grace Acosta, Treasurer
2950 SW 103 Avenue- Miami, FL 33165 
GARotts@aol.com 

Your application will be voted on after you have attended two club meetings.
Please, direct your questions to 
Club meetings are held on the second Wednesday of each month
La Carreta Restaurant, Bird Road and 87 Avenue, SW - Miami
Time of meeting: 7:30 PM 
NO MEETINGS IN THE MONTHS OF JULY AND AUGUST


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Club Use Only

Date Application Received ___________________ Form of Payment, Cash ______Check#________ 
Meetings Attended ___________ & ____________

Date Voted on _____________

Date Acknowledged _____________

Edited January 16, 2006

Webpage created by Grace Acosta

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