Potomac Valley Tibetan Spaniel Club - Renewal

Membership Renewal

Name

For Family Membership: List family members

Kennel Name

Email

Street Address

City

State

Zipcode

Phone Number

Select Type of Membership:

Regular Member (Individual) - $10 For one person age 18 and older who wishes to be an active member (attend meetings, vote, hold office).
Regular Member (Household) - $15 For two persons age 18 and older living in the same household who wishes to be an active member (attend meetings, vote, hold office).
Additional family member age 18 and older $5.
Associate Member - $7 For one person age 18 and older who is interested in Tibetan Spaniels and wishes to support the club but who will not be an active member (will not vote, hold office or obligated to attend meetings.
Associate Member (Household) - $10.00 For two persons age 18 and older who wishes to support the club but will not be an active member and will not vote or hold office.
Junior - $5 For a person ages 8-17 years old.

I agree to support and abide by the Code of Ethics and the Constitution and By-Laws of PVTSC and the rules of the American Kennel Club.

Yes
No

Typing your name will be considered your signature

DON'T FORGET TO RENEW!

Renewals are due by December 31 each year!