The Lone-Star
Address: ____________________________________________________________________
Tel.
Number:
______________________ Email:
____________________________________
Please check
all appropriate boxes that apply:
Breeder:
_________ Pet
Owner: ______ Fancier:______
My areas of
interest are:
Conformation____Agility____Obedience____Weight Pull _____Pets_____ Other _____
Please
list any other dog clubs you belong to: _____________________________________
__________________________________________________________________________
Please
list any past or present positions held in the above clubs:
_________________________
_____________________________________________________________________________
Please
list any LSLTFTA
member(s) you know for reference(s): __________________________
______________________________________________________________________________
I
give permission to share my information with other LSLTFTA members: Yes ____ No ___
Memberships
run per calendar year (Jan 1st – Dec. 31st) , and are $10.00 per person
# of Persons: ______
Total
Membership Dues Due: $_________
Make
checks payable to: Lone-Star Toy Fox
Terrier Association (LSLTFTA)
Signature:
_____________________________________ Date: __________________________
Please
print and Mail to: Kathleen Chance 95