Application for Membership in Florida Suncoast Boston Terrier Club, Inc.
Name:___________________________________________ Phone: ( )_________________
Address:______________________________________________
E- Mail Address :___________________________________________
Do you currently own an AKC registered dog? ______YES ______NO
Breed(s)_____________________________________________
Do you currently belong to another All Breed or Specialty Club(s) __YES ____ NO
If Yes , List:______________________________________________
Why do you want to join the Florida Suncoast Boston Terrier Club?
Please check items you are willing to volunteer to work on:
__ Match __ Show __Steward __Education __Handling Class __ Other :____________________________________
Please use reverse side to give a brief introduction/ history of yourself and previous involvement with purebred dogs.
Sponsors: (1)___________________________________
(2)_________________________________
If elected to membership, I agree to abide by the Constitution and By- Laws of the Florida Suncoast Boston Terrier Club, and the rules of the American Kennel Club. I also agree not to sell any puppies to Pet Shops and/ or in litter lots.
Applicant Signature:________________________ Date:________
Applicants for membership shall attend one meeting. Please enclose check with application
Annual Dues: $20.00 Date Paid:_____
I have verified this application to the best of my ability and I herewith do ____ recommend this person for membership in the Florida Suncoast Boston Terrier Club.
Date _____________________ Membership Chairperson ____________________
Return to: Helen Connolly 415 Island Cay Way, Apollo Beach, FL 33572
