North American Coton Association New Member Application

New Member Application

NORTH AMERICAN COTON ASSOCIATION
- Membership dues are for the 2026 calendar year and are not prorated.
- Please note: Although NACA is a nonprofit, 501(c)4 organization, membership dues are not deductible as a charitable donation.
- One current NACA Member Sponsor's information is required on this form to process the "New Member Application".
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Membership Categories*

Single Membership $40Household Membership $50Junior Membership $10
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):
NACA SPONSOR NAME (current member name required):*

First NameLast Name
NACA MEMBER SPONSOR EMAIL:*
NACA MEMBER SPONSOR PHONE NUMBER:*

Area CodePhone Number
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.

Mailing AddressEmail AddressPhone Number/s
Do you own a Coton de Tulear?*

YesNO
I/We have participated in the following activities with our Coton/s:

BreedingRescueAgilityOB/RallyNoseworkCanine Good Citizen or SPOT TrainingConformationTherapyTrick DogServiceFreestyle DanceOther

I am/We are affiliated with other Coton de Tulear clubs, groups, and/or dog organizations. Indicate any that apply below:*

	Name/s
National Coton de Tulear Clubs
Regional/Local Coton de Tulear Clubs
Indpendent Coton de Tulear Clubs
Coton de Tulear Groups
Kennel Clubs (Multi-Breed)
Performance Dog Clubs
Other Dog Breed organizations
None

If you affiliated with other dog clubs, groups, and/or nonprofit organizations, please consider sharing any Board or Committee positions that you serve in currently or have held in the past. This is optional.
I am interested in sharing skills with NACA:

AccountingPublic Relations/SpeakingAdvertisingLegal/ParalegalArt / GraphicsEvent/Show organizationComputerNewsletterWritingPhotographyOther
New Applicants: processing of New Member Applications takes approximately four to six weeks as outlined in the Club's Bylaws. You will be notified regarding membership acceptance within that timeframe.
Terms & Conditions*
E-Signature*
DATE:*

MonthDayYear
SELECT ONE 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

Choose from one of the PayPal options to make your payment.