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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: computers, 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.
Copy, paste into a document and then print for your use.
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: computers, 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.