NEW
DOG CLUB
APPLICATION
AAPBA • HQ 2001 Delameter Rd. • Castle Rock, WA 98611 • Ph 360-274-4209 • E-mail aapba@aapba.com • Web www.aapba.com
Name of Club
Date
Name of applicant
(print and sign name)
Club Initials
LIST OF OFFICERS AND CONTACTS
List President, Vice President, Secretary and Treasurer.
President
Phone and Email
Vice-President
Phone and Email
Secretary
Phone and Email
Treasurer
Phone and Email
LIST OF ALL OTHER MEMBERS
If needed please use a separate sheet of paper.
Member
Phone and Email
Member
Phone and Email
Member
Phone and Email
Member
Phone and Email
Email or call the AAPBA All Breed Dog Registry Registration Office
to have a NEW DOG CLUB APPLICATION mailed to you.
Date
President
(print and sign name)
LIST OF INTEREST, EVENTS AND GOALS
Write your dog related history, club interests, events of interest and club goals. If needed please use a separate sheet of paper.
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