Membership Application


Print this form out and mail to:

Peter Wolfe
Treasurer, CCWCC
7001 Barkwater Court
Bethesda, MD 20817
Make checks payable to: CCWCC

Name:
    
Address:
    
   
  
Phone:                                                                                  Date:
    
Kennel Name:
    
Email Address:

Type of Membership:

      
Single ($15.00)
    
Household ($25.00) (Two Adults and any junior members residing in a single household)
             
 Junior ($5.00) (Under 18 years old)
          
Associate ($10.00) (Non-voting membership for people outside of the clubs georgraphical area)

Are you a breeder?     
             
Yes
           
No

What other activities/competition events do you participate in:
          
Conformation
        
Agility
          
Other, specify below
          
Obedience
           
Herding
          
       
           
Tracking
           
Therapy Dogs
           

List other dog clubs to which you belong and offices held:
           
           
           

Please submit a short auto-biography, mentioning how long you have been in Cardigans, titles you have earned, etc. Please attach on a seperate piece of paper.
Thank you!

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