THREE TRAILS CARDIGAN WELSH CORGI CLUB OF KANSAS CITY
Application for Membership

NAME: ___________________________________________________________________

STREET ADDRESS: _________________________________________________________

CITY: _________________________ STATE: ______ ZIPCODE: ________________

HOME PHONE: ____________________ WORK PHONE: _______________________

EMAIL ADDRESS: ___________________________

SIGNATURE OF SPONSOR #1: __________________ SPONSOR #2:____________________
(Not needed for Newsletter membership)

(Check all that apply) My interest is in:  [ ]Conformation   [ ]Obedience   [ ]Agility  [ ]Herding   [ ]Fun

[ ] I do     [ ] do not  own a Cardigan Welsh Corgi at this time.

Check where you would be willing to participate: [ ]Committees   [ ]Officer/Board   [ ]Training Classes
Other: _____________________________________________________

I/We hereby agree to abide by the constitution & by-laws of the Three Trails Cardigan Welsh Corgi Club
of Kansas City and the ethics established by the Club as well as the rules of the American Kennel Club.

(Your signature here:) ___________________________________

The membership dues are as follows: Household (at $25 per year, each member of the household has
one vote); Individual (at $15 per year, one vote); Junior (under 18 years of age) (at $10 per year, no
vote); Associate (at $15 per year, no vote) and Newsletter (just the quarterly newsletter at $12 per year,
no vote, no sponsors needed.)
Send to: Norma Chandler, 11202 E. 50th St., Kansas City, MO  64133.
Questions? Contact Norma at: (816) 353-2075 or normachan@aol.com.

Date application received: __________ Date submitted: __________ Date admitted: __________