MEMBERSHIP APPLICATION

PLEASE TYPE OR PRINT CLEARLY

Applicant(s) Name             _____________________________________________________

Residence Address:         ______________________________________________________

Mailing address                ______________________________________________________

City, State, Zip                 _______________________________________________________

Phone Number                 _______________________________

Fax Number                     ________________________________

Email Address                 ________________________________

Web Site(s)                     _________________________________________________________

DOG INFORMATION:

Number of Great Pyrenees presently owned:    ___________

        How long have you owned Great Pyrenees: ________

Briefly describe your interest(s) in the breed:__________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

MEMBERSHIP:

Individual:                     Dues $10.00 per year

Family: (two votes)    Dues $20.00 per year

Please make check payable to               Total enclosed:$____________

I have read and promise to abide by the Constitution and any Code of Ethics presently adopted by the Great Pyrenees Club and to uphold the aims and goals of the organization insofar as I am able.

APPLICANT(s) SIGNATURE(S):                             ______________________________

Date: ___________                                                    ______________________________

Note: Applicants' names are published in the next issue  of the Newsletter following receipt of their completed application.  If no objections are received, membership becomes active thirty days   following publication.

Mail to:  

rev8/98