Southern MichiganWeimaraner Club
Printable Application for Membership 2007
Dues are accepted through March 31

New Member   Renewal

Name:_________________________________________________________________

Address: ____________________City,________________State._____ Zip:__________

Home Phone: _____________Cell   Phone ________________Email:_______________

Newsletter (NOTE: Newsletter is sent by E-mail, Unless you request snail mail)

Pick One: Email Regular US Mail.

I agree to abide by the constitution and by-laws of the Southern Michigan Weimaraner Club, Inc. The Weimaraner Club of America Code of Ethics, & by the rules of the American Kennel Club. I am 18 Years or older.

Signature:________________________________________Date:__________________

SMWC Sponsor:____________________________________Date:__________________

Dues: $20.00 Family Membership,
$15.00 Single Membership,
         $18.00 Michigan United Conservation Club Magazine; Michigan Out-of-Doors

*** MUCC dues will only be accepted between***
January 1st to February 25th of each year
*** After June 30th, dues are half the annual rate***

Please complete and sign this form:

Make checks payable to SMWC & mail to:
Lisa Peters., 25246 Champaign, Taylor, MI   48180


I own ___ Weimaraners. My dog(s) name is/are:_________________________________

Please check the following area(s) that you are
interested in (I), would like to volunteer (V) and/or have experience in (E)

Agility (I) (V) (E)

Winter Club Banquet (I) (V) (E)

Club Picnic (I) (V) (E)

Event Committees (I) (V) (E)

Hunting Test (I) (V) (E)

Kitchen Help @ Events (I) (V) (E)

Field Trails (I) (V) (E)

Weims as Pets (I) (V) (E)

Breeding (I) (V) (E)

WCA Retrieving/Ratings (I) (V) (E)

Conformation (I) (V) (E)

Obedience (I) (V) (E)

Obedience (I) (V) (E)

Newsletter/Advertising (I) (V) (E)

Tracking (I) (V) (E)

Traveling Trophy Committee (I) (V) (E)

*** SMWC By - Laws are available to any member upon request***