Estrela Mountain Dog Association of America Membership Application

Estrela Mountain Dog Association of America Membership Application
APPLICATION FOR (RE)NEW MEMBERSHIP
We have been invited to apply for Membership of the 'Estrela Mountain Dog Association of America'.
NAME(S)*
TEL.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
EMAIL*
example@example.com
WEB PAGE
KENNEL NAME
Please give details below of any Estrela(s) you may own if you are so inclined:
How many?
Please select your interest in Estrela Mountain Dogs
Membership Dues: Membership term is from January 1st to December 31st each year. Renewals must be paid by January 31st or membership is deemed to have lapsed. Fees are payable in US Dollars only, checks to be made payable to: EMDAA. Fees are as follows:
Membership Fees are Currently Waived for All New Members Joining us in 2024. Fees will resume 09/30/2024
Family/Household (2 votes) = $25.00
Single (1 vote) = $20.00
(Extra donations are always welcome)
Family/Household (2 votes) = $25.00 Single (1 vote) = $20.00 (Extra donations are always welcome)

I agree to abide by the EMDAA Consitution & Bylaws; the EMDAA Code of Ethics; and the rules and regulations of the United Kennel Club
SIGNATURE(S)
Name

First NameLast Name
DATE*

MonthDayYear
Date
Please return this form if paper format with appropriate fees to the Treasurer of the EMDAA.
Should be Empty:

Membership Fees are Currently Waived for All New Members Joining us in 2024. Fees will resume 09/30/2024