ARTA Membership Renewal Form ARTA is your National UKC Parent Breed Club with members, owners and fanciers in mind. This is YOUR Club. We continue to grow through your support and contributions. Please update our membership files by completing the following information: Renewal Application for Membership (Jan 1 – Dec 31, 2015): Your Name: ____________________________________________________ 2 nd Member: ____________________________________________________ Address: _______________________________________________________ City/State/Zip: __________________________________________________ Phone #: __________________________ Email: ______________________ Kennel Name (if applicable): _______________________________________ Are you presently in good standing with UKC? Yes________ No_______ I have read, signed and agree to abide by the American Rat Terrier Association's Code of Ethics which is on file with ARTA. I have also enclosed my annual membership dues of $ ______along with this renewal membership form. Please accept my name for renewal in the American Rat Terrier Association. ________________________________________ ________________________________________ 1st Member Signature Date 2nd Member Signature Date Please check one: I give permission to include my name in the public ARTA membership list: Yes______ No______ ARTA Membership's are as follows: Family/Dual Membership ( 2 persons - 2 votes - per household - aged 18+) - $ 25.00 - run per calendar year (Jan. 1st - Dec. 31st.) Single Membership ( 1 person - 1 vote - aged 18+) - $20.00 - run per calendar year (Jan.1st - Dec.31st) Junior Membership (Under age 18) - $10.00 and run per calendar year (Jan. 1st– Dec. 31st) (Persons under 18 – no rights to vote or hold office) Associate/Member Club (Associated UKC - ARTA affiliated clubs - entitled to privileges of a single member.) - $20.00 – run per calendar year (Jan. 1st– Dec. 31st). SEND YOUR APPLICATION AND SUPPORTING DOCUMENTS TO: Carmeta French ∙ ARTA Membership Secretary 564 Northfield Rd Roxbury, VT 05669

ARTA Membership Renewal Form - Rat Terrierartaukc.org/wp-content/uploads/2014/12/2015_ARTA_RENEWAL1.pdfARTA Membership Renewal Form ARTA is your National UKC Parent Breed Club with

Download PDF Report

Upload
others
View
19
Download
0

Embed Size (px)

Citation preview

ARTA Membership Renewal Form

ARTA is your National UKC Parent Breed Club with members, owners and fanciers in mind.This is YOUR Club. We continue to grow through your support and contributions.

Please update our membership files by completing the following information:

Renewal Application for Membership (Jan 1 – Dec 31, 2015):

Your Name: ____________________________________________________

2nd Member: ____________________________________________________

Address: _______________________________________________________

City/State/Zip: __________________________________________________

Phone #: __________________________ Email: ______________________

Kennel Name (if applicable): _______________________________________

Are you presently in good standing with UKC? Yes________ No_______

I have read, signed and agree to abide by the American Rat Terrier Association's Code of Ethics which is on file with ARTA. I have also enclosed my annual membership dues of $ ______along with this renewal membership form. Please accept my name for renewal in the American Rat Terrier Association.

________________________________________ ________________________________________1st Member Signature Date 2nd Member Signature Date

Please check one:I give permission to include my name in the public ARTA membership list: Yes______ No______

ARTA Membership's are as follows:Family/Dual Membership ( 2 persons - 2 votes - per household - aged 18+)

- $ 25.00 - run per calendar year (Jan. 1st - Dec. 31st.)Single Membership ( 1 person - 1 vote - aged 18+)

- $20.00 - run per calendar year (Jan.1st - Dec.31st)Junior Membership (Under age 18)

- $10.00 and run per calendar year (Jan. 1st– Dec. 31st)(Persons under 18 – no rights to vote or hold office)Associate/Member Club (Associated UKC - ARTA affiliated clubs - entitled to privileges of a single member.)

- $20.00 – run per calendar year (Jan. 1st– Dec. 31st).

SEND YOUR APPLICATION AND SUPPORTING DOCUMENTS TO:Carmeta French ∙ ARTA Membership Secretary

564 Northfield RdRoxbury, VT 05669