KETTLE MORAINE ENGLISH SETTER CLUB
MEMBERSHIP APPLICATION

NAME___________________________________________________________
ADDRESS___________________________________________________________
___________________________________________________________
PHONE___________________________________________________________
EMAIL___________________________________________________________


List dogs you own now:
BreedRegistered Name
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
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Do you agree to abide by AKC rules? __________
Do you agree to abide by the KMESC Constitution? ________


Signature___________________________________________ Date_______________

Sponsors___________________________________________

             ___________________________________________


Return application and check payable to “KMESC” to Membership Chairman:

                                 Lin Sell,
                                                       441 Sherman Rd.
                                                       Colgate, WI  53017
Dues:$15 - Single
       $20 - Family
       Free - JuniorDate Rec’d_______________
                 Date Read_______________