Spirit of St. Louis Pug Fanciers, Inc

Membership Application 

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Mission Statement:  Spirit of St. Louis Pug Fanciers is

Dedicated to protect, preserve and advance the awareness of the

Pug Dog through sensitive ownership, health, welfare, love and

Companionship in order to strengthen the appreciation for the

Enlightenment of Pug Pride and importance of the Pug Dog.

Name _____________________________________________

Address ____________________________________________

Telephone Numbers ___________________________________

Type of Membership Applied For:
Family _____ Individual _____ Associate _____ Junior ______

Are you in good standing with the American Kennel Club?  ___________

Are you a member of the AKC?  _____ yes _____ no

Do you exhibit in Obedience? ______ yes; _____ no.  Conformation?  _____yes _____ no

In how many AKC shows or Trials have you exhibited in the past twelve months?  _____

Number of litters bred in past two years? __________

List all dog club affiliations, past and present, and offices held in each club:

Are you aware of and willing to abide by the AKC rules as they apply to regulation of conformation & obedience shows? _________

Please type or Print Name (s)                                            Applicants Signature (s)                                                             Date

Please type or Print Name (s)                                            Applicants Signature (s)                                                             Date

Birthday (Optional) _______________________________

What are your individual interests and how can you best serve the club:

_____ Annual Pug Party _____Pug Rescue _____Pug Foster Care _____Public Education _____ Shows

_____ Fund Raising _____ Social Committee _____ Newsletter _________________________Other

All applicants must bear sponsorship of two members of the Spirit of St. Louis Pug Fanciers Club in good standing.  Sponsors must not be of the same household.

Length of time sponsor has known applicant ______________________________   ____________

                                                                                                Sponsor’s Signature                                    Date         

Length of time sponsor has known applicant______________________________   ____________

                                                                                                Sponsor’s Signature                                    Date         

Dues are $15.00 for individual membership; $20.00 for family membership and $12 for associate membership.

Dues paid by check_____ cash _____ date paid _____

Dues must accompany this application.

First Reading _____           Second reading _____ Vote Taken     Accepted _____ yes _____ no