Tri-State Alaskan Malamute Club

Membership Application        

2004-2005 Event Season       

Application for Season Year:__________________  Date of Application:________________

Circle type of Membership:

Family-$20(2 voting rights)    Senior-$10(*voting rights)   Associate-$10(no voting)  Business-$50(no voting)

*To retain voting rights you must participate in three meetings and actively work at one event.

Name of Applicant(s) (For Family Membership, please list ALL Members covered)

Mailing Address:

Phone Number:

Email Address:

Please list your hometown newspaper:

Please list your interest(s) that have prompted you to join the TSAMC:

Please List any special interest or talents that you may have that might help the club further promote the TSAMC and the working dog-for events, for sponsorship, for club maintenance etc.  Also list the ways that you are willing to help out:

What type of dogs do you own and how many?

What things would you like to see the club do?

Send Application form and check to:

Helen Schultz, E7625 Hwy 60, Spring Green, WI 53588