STCNE Membership Form

The Scottish Terrier Club of New England, 

APPLICATION FOR MEMBERSHIP IN STCNE

DATE: _____________TELEPHONE: __(_________)____________________

APPLICANT’S NAME(s): _______________________________________________________________________
ADDRESS: __________________________________________________________________________________

CITY: ________________________________________ STATE: ________ ZIP: __________________

Your AKC Registered Kennel Name (if any): _________________________________
Names of sponsors who will be writing your Letters of Recommendation:

Sponsor #1: _______________________

Sponsor #2: ___________________________
PLEASE ANSWER THE FOLLOWING QUESTIONS:
1. Why do you want to join the Scottish Terrier Club of New England? ___________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ __________________________________Continue on reverse
2. What do you wish to obtain from the Club? ______________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ ________________________________     Continue on reverse _____________________________________________________
Applicant’s Signature(s)