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CHOW CHOW CLUB OF CANADA, INC. Print off membership application, enclose with cheque or money order payable to: The Chow Chow Club of Canada, Inc. Mail to: Sandra Post, CCCC, Inc. Treasurer, PO Box 3267 Morinville, Alberta T8R 1S2 Canada January to December (effective January 2008) Single: $15/year Canadian Funds Couple: $20/year Canadian Funds

MEMBERSHIP DETAILS

Name:
Complete Mailing Address:			,
Postal/Zip Code
Phone Number:
Email Address:
Fax Number
Registered Kennel Name:
Website URL:

Do you own a Chow?			Yes or No
If yes, how many?

Do you breed Chows?			Yes or No
If yes, how many years?
Do you breed other animals? if so, what?			Yes or No
Do you show in conformation?			Yes or No
Do you show in obedience?			Yes or No
Do you show in rally? Agility? Other?			Yes or No

Networking is only possible if we agree. Do you have a special talent or occupation that could benefit our club? Let us know. We are stronger if we pool our resources.

BBy sending this application to the Chow Chow Club of Canada, Inc., I agree that membership is not automatic and is only approved at the discretion of the Executive Board. Should my application not be approved, my fees will be returned as soon as practicable. I have also read the

Membership Object & Bylaws located at the Member area of www.chowcanada.ca

I am not actively engaged in, nor do I intend to participate in the breeding,

selling or otherwise marketing dogs that are not purebred.

I also have never been convicted of a crime against animals in any format, criminal or civil.

Signature ________________________________________ Date _________________________