IHCUS Membership Application Form

All persons applying for membership shall:

Sponsors:

In addition to being a club member in good standing for a minimum of 1 year, Sponsors should have sufficient personal contact with the applicant; face-to-face association is preferred, rather than slight acquaintance or long distance communication only. Sponsors are to vouch for the applicants’ character, ethics, sportsmanship and treatment of dogs in their care. Casual relationships based solely on social media must also include secondary contact (telephone conversations, home checks, meeting at a show, etc.) Whenever possible the Sponsor or another IHCUS member on their behalf should make a visit to the applicant’s home.

Applicants seeking Sponsors are encouraged to contact the Membership Committee who will attempt to network on their behalf by locating IHCUS members in their region.

Applicants applying for Foreign Membership do not need sponsors. Foreign Membership is open to those who do not reside in the United States or its territories and who are entitled to all membership privileges except the right to hold office and the right to vote in elections, or on amendments to the bylaws, revisions to the breed standard or to sponsor or vote on membership applicants.

Process:

The Membership Committee will review applications and sponsorship forms for completeness and forward their findings to the IHCUS Board of Directors.
Applicant names will be published in the next quarterly issue of the Club newsletter, The Third Eye.
1. Upon approval of the pending IHCUS Bylaws revision, applicant names will be submitted to the IHCUS membership for feedback via email rather than in The Third Eye. The IHCUS membership will have 14 days to respond with any feedback.
The Board of Directors will vote on applications three weeks following publication in the Third Eye.
1. Upon approval of the pending IHCUS Bylaws revision, The Board of Directors will vote on applications at the next meeting following the closure of the membership feedback period.
The Membership Chair will notify applicants the status of their membership following the Board vote.

Submission of the application constitutes agreement that the information contained in the application form will be made available for review by IHCUS members and that IHCUS will solicit information from references.

Application Fees:

An initiation fee of $25.00 per application (non-refundable) is required plus the first year’s membership dues (refundable should an applicant be denied membership). Annual dues are $40.00 per individual and $25.00 for each additional person living at the same household seeking membership.

Number of Applicants	Initiation Fees	Annual Dues	Total Application Fees
One (Individual)	$25	$40	$65
Two (Household)	$25	$65 ($40 + $25 Second Person)	$90

Membership Type

Number of Applicants

Applicant Name

First NameLast Name

Applicant Occupation

(if retired what was your Occupation)

Applicant Interests

Second Applicant Name

First NameLast Name

Second Applicant Occupation

(if retired what was your Occupation)

Second Applicant Interests

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Members are encouraged to elect to receive electronic notifications (i.e. email) regarding Club business. New Members will automatically receive electronic notifications unless the box is checked stating they do NOT want electronic notifications on the Membership Application. Not all correspondence will be done electronically.

Applicant E-mail

Applicant Phone Number

Area CodePhone Number

Applicant Electronic Notification Approval

Second Applicant Phone Number

Area CodePhone Number

Second Applicant E-mail

example@example.com

Second Applicant Electronic Notification Approval

Kennel Name:

Website:

Sponsor #1    First Name*   Last Name*
Sponsor #2   First Name*   Last Name*
Sponsor #3   First Name   Last Name

Sponsorship Form Format

Attach Sponsorship forms here

Why do you wish to join IHCUS?

Have you ever been suspended from AKC privileges or any dog club?

If YES - Explanation:

OWNERSHIP - List all of the dogs you previously & currently own or co-own

Would you be able to foster a Rescue Ibizan?

LITTERS – List the litters you have bred

List the stud services your dog(s) has/have provided:

N/A if not Applicable

What health tests do you currently do on your adult dogs and puppies?

Are you willing to screen your dog(s) for hereditary genetic problems before breeding?

Do you agree to allow an inspection of your kennel facilities if requested by the IHCUS Board?

Do you accept responsibility for any dog of your breeding which comes into a rescue situation?

Do you or have you ever sold or consign dogs to retail or wholesale outlets or other persons supplying them?

ACTIVITIES – Which of the following activities interest you?

PARTICIPATION – List the clubs and dog related organizations (breed, performance) to which you belong

Additional Comments

DISCLAIMER AND SIGNATURE (My signature below is an acknowledgement of and agreement to the following)

Signature

Date

Payment Method

Total Application Fee: Check

Includes $25 Application Fee per Person

Total Application Fee: PayPal Calculation

Includes $25 Application Fee Per Person

See Total Application Fee: Check Field for amount due.

After form submission, Make check for application fee (payable in US Funds) to IHCUS and Mail to:

Pam Fusco (IHCUS Treasurer)
3451 S Grosvenor Hwy
Palmyra MI 49268

Membership Application will not be processed until after payment receipt.

Total Application Fee: PayPal

USDMembership Application, Includes $25 Application Fee Per Person and $3 Convenience Fee

Once you submit your application, we will contact you shortly to complete your membership application.

Thank you!

IHCUS Membership Application

Membership Application Instructions

Membership Application

Electronic Notifications

Sponsors

Rescue Fostering

Total Application Fee: PayPal