KETTLE MORAINE ENGLISH SETTER CLUB
MEMBERSHIP APPLICATION
NAME
___________________________________________________________
ADDRESS
___________________________________________________________
___________________________________________________________
PHONE
___________________________________________________________
EMAIL
___________________________________________________________
List dogs you own now:
Breed
Registered Name
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
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 - Junior
Date Rec’d
_______________
Date Read
_______________
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