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Please send completed form to: Maurice Hill 430 E. Broadway Crystal Lake IL 60014 Any questions please contact: Pam Hughes 198 Bates Rd. White Salmon, WA 98672-8504 |
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The United States Lancashire Heeler Club Membership Form |
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Many narrative essays online we worked on are available for our clients once this form is filled in and approved. | |||||||
Name:__________________________________Address:_______________________________________________ _____________________________________________________________________________________________ Zip/Postal Code:________________ State/Province:_________________ Country:__________________ Phone:____________________ Fax:____________________ Email Address:_______________________________ New Membership _____ Renewal _____ How many Lancashire Heeler's do you own? (please tell us about them! Ages, color etc )_________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ Please tell us about your other pets... ________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ What are your Interests (please check those that apply): Breeding _____ Showing _____ Obedience _____ Herding _____ Other (please specify) ______________________________________________________________________________________ Would you be interested in helping with club tasks? ______ If so, please tell us how you'd like to help! ________________________ ________________________________________________________________________________________________________ Membership dues are $35.00 in United States funds and are due January 1st of each year. Please make cheque or money order payable to The United States Lancashire Heeler Club. I hereby make application to the United States Lancashire Heeler Club and agree, if accepted for membership, to adhere to the policies, guidelines, constitution and by-laws set forth by the club. The above information is true and accurate. I understand that my membership is subject to the club's approval. Sign ______________________________________________ Date ___________________________ |
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