North American Coton Association Member Renewal Application

North American Coton Association
2025 MEMBERSHIP RENEWAL
- Membership dues are for the calendar year and are not prorated.
- Please note: Although NACA is a nonprofit, 501(c)4 organization, membership dues are not tax-deductible as a charitable donation.
- Sponsors of Renewing Members are on file with NACA.
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Membership Categories*

Single Membership $40Household Membership $50Junior Membership $10
CONTACT INFORMATION:
NAME:*

First NameLast Name
EMAIL:*
MAIN PHONE NUMBER:*

Area CodePhone Number
OTHER PHONE NUMBER:

Area CodePhone Number
ADDRESS:*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
HOUSEHOLD MEMBER NAME (if applicable):

First NameLast Name
HOUSEHOLD MEMBER EMAIL (must be different to vote in electronic polls):
Check any information that you do NOT want included in our private NACA Membership Directory. Please note: UKC requires the NACA member list as their National Breed Club for the Coton de Tulear.

NameMailing AddressEmail AddressPhone Number/s
I/We have participated in the following activities with our Coton/s:

BreedingRescueAgilityOB/RallyNoseworkCanine Good Citizen or SPOT TrainingConformationTherapyTrick DogServiceFreestyle DanceOther
I am interested in sharing skills with NACA:

AccountingPublic Relations/SpeakingAdvertisingLegal/ParalegalArt / GraphicsEvent/Show organizationComputerNewsletterWritingPhotographyOther
Terms & Conditions*
E-Signature*
DATE:*

MonthDayYear
SELECT ONE NACA MEMBERSHIP CATEGORY:*
prevnext( X )
Single Membership (1 vote)
$40.00



Household Membership (2 residents of the same household)(2 votes)
$50.00



Junior Membership (applicant must be between 13-18 years of age )(non-voting member category)
$10.00



Total

$0.00

Payment Methods

Debit or Credit Card

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North American Coton Association

2025 MEMBERSHIP RENEWAL