American Hairless Terrier Association

Membership Application
(New Members)

If you are an existing member - please use the Renewal Form
 
Single membership:________ (enclose $15.00)
Family membership:________(enclose $20.00)
Honorary membership:________ (Non-voting, enclose $10.00 by money order)
Name:____________________________________ Phone:________________________
Family members (if family membership):__________________________________________
________________________________________________________________________
Address:_________________________________________________________________
E-mail address (if applicable):________________________
Do you own an American Hairless Terrier? ________ If so, how many? ________
Names of dogs:___________________________________________________________
Are you a pet owner? ________ or breeder? ________ Kennel name?________________
If you do not own an American Hairless Terrier, do you plan to one day? ________
Tell a little about yourself and why you want to be a member: _________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
Do you know anyone that is a member of the AHTA? ___ If so, who?__________________
I have read and signed the AHTA Code of Ethics and have enclosed a signed copy to be placed on file with the AHTA. I have also enclosed my annual membership dues of $_____ along with this membership form. Please accept my name for consideration in The American Hairless Terrier Association.
Signature: ________________________________ Date: ________
~ ~ ~
Make checks payable to: American Hairless Terrier Association
Send application with payment to:
American Hairless Terrier Association
c/o Barbie Trammell
223 FM 1749
Forestburg, TX 76239

 

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