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Membership  Application
PLEASE PRINT AND MAIL WITH DUES (address below)

All members of Dynamic Dog Club must be residents of The Villages. 

Today's  Date:__________________ 
 
Name(s):_________________________________________

Villages ID(s)______________________________________
 
Address:____________________________________________________
 
Zip  Code:________________________
 
Phone:____________________________Cell:_______________________
 
Email  address:____________________________________________________
 
My main area(s) of interest are: ( please check as many as you wish )

______ Therapy Dogs

______  Dog R.E.A.D.ers Literacy Program

_______ Canine Drill Team

Other:____________________________
 
My special skills that may benefit the club are ( ie: clerical, leadership, training, hospitality, etc.) :

___________________________________________________________

___________________________________________________________

 
dog's name:___________________________Breed:__________________

Age:______________Gender:_____________

2nd Dog's name: _________________________Breed:____________________________

Age:________________Gender______________
 
Please return this application with your annual dues to:
Neil (Bing) Johnson, Membership Chairman
1427 Arbor Trail
The Villages, 32162. 

Annual dues are $7.00 per person or $12.00 per couple. Please make your checks payable to the Dynamic Dog Club.  
Please, no cash by mail.  Cash gladly accepted at club meetings.