SAMOYED ASSOCIATION OF
CENTRAL ONTARIO

Application for Membership

Name:  ___________________________________________________________________________________

Address:  _________________________________________________________________________________

______________________________________________________Postal Code: _________________________

Telephone:  _________________________ E-Mail:  ________________________________________________

Website URL:  _____________________________________________________________________________

Kennel Name(if applicable):  ___________________________________________________________________

 

Are you a member of:

Canadian Kennel Club

Samoyed Assoc. of Canada

Samoyed Club of America

Any other Kennel/Dog Club

_____

_____

_____

_______________________________

Other (All-breed, Specialty, Obedience, etc.)  ________________________________________________________________________________________

________________________________________________________________________________________

Offices held: __________________________________________________________________________

Areas of involvement or interest:

Conformation

Obedience

Breeding

Pet Owner

_____

_____

_____

_____

Sledding

Herding

Agility

Flyball

_____

_____

_____

_____

 

Other

________________________________________

 

Samoyed(s) owned or co-owned (Name & CKC/AKC reg. # or   “rescue”): _________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

Membership Fee (enclose with application):  Individual $15/yr      Family (2) $25/yr

Membership Type:         Regular ___      Associate (outside Ontario)  ___

 

Mail your completed application and fee to:
Kerry Meydam, Secretary SACO

3828 Trulls Road
Courtice, Ontario   L1E 2L3

 

If accepted as a member I agree to abide by the rules of the CKC, and the Constitution and Bylaws
and Code of Ethics of the Samoyed Association of Central Ontario.

 

Signature(s):___________________________________________________Date_______________________

 

Sponsor:_________________________________________________________________________________

 

SACO website:     http://www.ontariosamoyedclub.com
SACO Secretary:    secretary@ontariosamoyedclub.com