Chesapeake Cardigan Welsh Corgi Club
Membership Application
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 club’s geographical 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:
1
CCWCC Membership Application
Please submit a short auto-biography, mentioning how long you have been in
Cardigans, titles you have earned, etc. Please attach on a separate piece of
paper. Thank you!
Mail this form with fees to:
Peter Wolfe
Treasurer, CCWCC
7001 Barkwater Court
Bethesda, MD 20817
Make checks payable to CCWCC
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