Personal Information Required
Type of Membership: New_____ Renewal_______
Single:___($20.00) Double:___($25.00) Family:___($35.00)
US membership is payable in US dollars
The following information is optional.
CKC Membership #:_________________________ Tattoo Combination:___________________
Your personal involvement in Pomeranians consists of: (check all applicable activities)
Pet:______ Breeding:______ Conformation Showing:______ Obedience Showing:_____
Therapy:______ Agility:______ Flyball:______ Other:______
What skills can you offer the Club?_________________________________________________
I/We agree to abide by the Constitution and By-Laws of the Pomeranian Club of Ontario and the Canadian Kennel Club
I/We further agree that The Pomeranian Club of Ontario may include the following information in the membership list published on the Pomeranian Club of Ontario website.
|My/our name(s): Yes___ No___
||Kennel name: Yes___ No___
||Address: Yes___ No___
|Telephone No.: Yes___ No___
||Fax No.: Yes___ No___
||Email: Yes___ No___
|Tattoo Combination: Yes___ No___
||Puppy Referrals: Yes___ No___
Date: ________________________________ Signature(s)____________________________
We offer two methods of renewal. Mail renewal form and cheque/money-order payable to The Pomeranian Club of
Ontario to the Secretary (Christine Surtees, R.R. #4, Almonte, Ontario K0A 1A0), or
email the renewal information to the Secretary and bank transfer/e-transfer the dues to the Treasurer at email@example.com.