ASSOCIATE MEMBER APPLICATION

ASSOCIATE MEMBER APPLICATION
Name*

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Primary Phone*
Format: (000) 000-0000.
Secondary Phone
Format: (000) 000-0000.
email*
example@example.com
1. What attracted you to this breed? How did you hear about the Affenpinscher Club of America?*
2. Do you own an Affenpinscher currently? If so, please tell us a little bit about you Affen (how you found him, is he an AKC registered dog, do you know his breeder, what's his name, etc.)*
3. Are you willing to volunteer as a helper at our National Specialty or other events featuring Affens in your area?*
4. Have you ever participated in any AKC or other dog related events either with your Affen or another breed?*
If you have any photographs of your Affenpinscher we would love to publish them in our Newsletter. Please email any pictures and a brief description of your Affen to: Newsletter Editor (newsletter@affenpinscher.org)

Please read the following carefully:

I agree to abide by the Constitution, Bylaws, and Code of Ethics of the Affenpinscher Club of America, Inc., and the rules of the American Kennel Club. At all times and under all circumstances I will consider the welfare and best interests of the Affenpinscher breed and of the dogs I keep, breed, exhibit or sell, and maintain in all such activities the highest standards of ethical conduct. An Associate member may not claim their membership in the Affenpinscher Club of America in any advertisement, web listing or other form of public communication as a qualification or factor in the placement, sale or transfer of any Affenpinscher. This includes, but is not limited to Breeders Listing, on the AKC or other web site. I have read and understand the ACA Membership Policy and Procedures and do share and uphold the objectives of its Statement of Membership Policy.
Signature*
Date

MonthDayYear
Date
My Products
prevnext( X )
Associate Membership
$22.00

Total

$0.00
loading smart payment buttons...

The payment is ready! It will be completed once you submit the form.
Should be Empty: