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RUSSIAN TOY DOG CLUB OF AMERICA, Inc.
MEMBERSHIP APPLICATION:
Date: Name:
Second Name for Household: Occupation: Address:
City: State: Zip/Postal: Country: Phone #1: Phone #2:
E-mail:
I own the following breeds:
My Sponsor is:
My interests in dogs are: (check all that apply) ______ I am presently the owner of a Russian Toy, or hope to become an owner in the near future. ______ I am presently a breeder or expect to become a breeder.
______ I am presently showing dogs or expect to show dogs.
______ I am interested in agility or other performance events.
______ I am interested in obedience.
______ I am a judge or expect to become one.
______ I am a veterinarian or expect to become one.
______ I am also a member of the following club(s) (please list): ________________________________________________________________________ ________________________________________________________________________
Levels of Memberships and Fees: (check one) Eligibility: We welcome ALL persons dedicated to building a solid healthy foundation for the Russian Toy, whether a breeder, show enthusiast or just a companion owner. To become a member you must be 18 years of age or older, own, breed, or have an interest in the Russian Toy. Anyone meeting these requirements may apply for membership.
[ ] Regular Membership: $25 Open to persons over 18 years of age, who are residents of the United States. Regular members enjoy all the privileges of the Club, as defined by the by-laws, including the right to vote, to hold office and to receive a yearly directory. [ ] Family/Household Membership: $30 Open to any two members of a family/household 18 years and older. Includes two votes, eligibility for a family/household member to hold office, and a yearly directory. [ ] Associate/Foreign Membership: $15. Open to persons 18 years of age or older, who live outside the United States. Dogs owned by Associate/Foreign members are eligible for the Club registration, providing that they are registering their dogs with the FCI pedigrees only. Associate/Foreign members enjoy all additional privileges of the Club, as defined by the by-laws, including obtaining Championship titles, except the right to vote and to hold office. Associate/Foreign members do not count in determining a quorum. [ ] Junior Membership: $15. Open to persons under 18 years of age, who reside in the United States. Junior members enjoy all additional privileges of the Club, as defined by the by-laws, except the right to vote and to hold office. Junior members do not count in determining a quorum. Junior members may convert to regular membership, as per their eligibility as defined by the by-laws, upon reaching their 18th birthday. Make checks in $US payable to: RTDCA, Inc.
Send Membership Application, signed Code of Ethics and check to our Membership Secretary: Jill Day
2503 Shipman Ln SE
Salem, OR 97317 I have read the Russian Toy Dog Club of America, Inc.(RTDCA, Inc.) By-laws and Code of Ethics carefully. I understand and agree to abide by these requirements. I understand that my failure to comply with any of the above agreed upon requirements may result in the suspension or revocation of my Club membership, without refund of dues paid.
Applicant(s) Signature(s): /
Date:
Click on here for a printable copy. 
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