Columbine
Country Alaskan Malamute Club
Application for
Membership
Submit to: Barbara White, 5450 E. Willow Creek Rd., Castle Rock, CO 80104 303-688-6502
Type of membership desired:
______Active
($18.00 + $5.00 for additional members)
Both
memberships include our monthly newsletter.
Name:_______________________________________________________
Address:___________________________________________________________________
___________________________________________________________________________
City:_________________________________
State:_________ Zip:_______
Phone:___________________________________
E-mail:___________________________
Occupation:___________________________________________________
Additional
Members in the same household (Name and Relationship)
_____________________________________________
____________
_____________________________________________
____________
_____________________________________________
____________
Kennel
Name:_________________
Years
you have owned Alaskan Malamutes:_______
List
Dogs Owned or Co-owned:
Name
of Dog
Age
Sex
Titles
Co-owners
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Use
additional space on back if necessary…
What
are your special areas of interest regarding Malamutes?
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Do
you have any special skills the club could utilize?
___________________________________________________________________________
___________________________________________________________________________
Are
you interested in participating at: _____club meetings,
_____fun matches, _____weight pulls, _____backpacking, _____sledding,
_____picnics and parties
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Sponsors:
1.
Name(print)_________________________
Signature___________________________
2.
Name(print)_________________________
Signature___________________________
Signature
of Applicant(s):_________________________________ Date:__________
_______________________________ Date:__________