White German Shepherd Dog Club International, Inc.

NATIONAL MEMBERSHIP APPLICATION

Mail Application to:
W.G.S.D.C.I., Inc.
23167 Cochise Street
Shady Point, OK 74956
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This application is a form you MUST PRINT OUT, and MAIL to the address above. If you're unable to print out the application, you can email the Membership Chairman and a membership application will be mailed to you.
NAME: ________________________________________ SPOUSE: _____________________
ADDRESS: ________________________________________ (if applying for family membership)
CITY: ____________________________ STATE: _________ ZIP CODE: ________________
KENNEL NAME (if any): ______________________ E-MAIL ADDRESS: ___________________
PHONE: ________________________ SPONSORED BY: ____________________________*
TYPE MEMBERSHIP APPLYING FOR: ___ Single ___ Family ___ Junior
THIS MEMBERSHIP IS A: ___ New Application ___ Rejoin ___ Renewal

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NAMES OF DOGS OWNED*
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 AKC NUMBERS
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    MEMBERSHIP LIST INFORMATION
    Please indicate how you wish to be listed on our Club membership list. If you do not indicate a preference, your name, address and phone will be listed. Thank you.
    Name: (Mandatory)
    Address: ____Yes ____No
    State Only: ____Yes ____No
    Phone: ____Yes ____No
    Email: ____Yes ____No
**Dogs listed for Club purposes must be registered German Shepherd Dogs; however, pet owners of unregistered dogs may also apply for membership.
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Please read the following statement and sign your name below.

MEMBER'S PLEDGE

I, the undersigned, will, in good conscience and to the best of my ability, comply with the Constitution and Bylaws, Rules and Regulations, and all decisions of the WHITE GERMAN SHEPHERD DOG CLUB INTERNATIONAL, INC. and any Chapter of this Club. I agree to ARTICLE I, Section 2(a) of the Constitution which reads: "to preserve the name and heritage of the white-coated German Shepherd Dog as an integral and inseparable part of the German Shepherd Dog breed." I will not sell whole litters of puppies to anyone, nor will I knowingly sell or supply dogs, puppies or litters to any pet shop or animal wholesaler on penalty of prompt dismissal from Club membership. I pledge to abide by these rules.

Signature of Applicant (must be 18 years of age)_______________________________ Date:______________
Spouse's Signature (if applying for family membership)___________________________ Date:______________
Parent's Signature (if under 18 years of age)___________________________________ Date:_____________

NATIONAL DUES: $25.00 = Family; $20.00 = Single; $10.00 = Junior (10-18 years of age, receive DIN but no vote). OVERSEAS MEMBERS PLEASE ADD AN ADDITIONAL $35.00 FOR 1ST CLASS POSTAGE OR $25.00 FOR BOOK RATE MAIL.

 Please mail this application with your National dues to the address shown above. A copy of this application will be sent to the Chapter closes to you. New Applications for membership will be printed in the next issue of the DIN. Chapter dues vary and are separate and apart fron National dues. A copy of the Club's Constitution and Bylaws may be requested by Emailing the Club's Recording Secretary , or by writing to Recording Secretary, Nancy Swanner, 2807 West Michelle Drive, Phoenix, AZ 85053-1732.

****Welcome to Our Club !!! ****