Pilgrim Doberman Pinscher Club, Inc. Membership Application

Pilgrim Doberman Pinscher Club, Inc. Membership Application
Application Type:
Eligibility: Regular and Associate Membership is open to individuals 18 or older who are in good standing with the AKC, DPCA, and its chapter clubs and support the purposes of PDPC. Junior Membership is available to qualifying individuals under age 18.
- Regular Member ($25) – Voting rights and eligible for office.
- Associate Member ($18) – All privileges except voting and office holding.
- Junior Member ($10) – All privileges except voting and office holding.
Applicant Informattion:
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Format: (000) 000-0000.
Email
Occupation
How long have you owned a Doberman?

Dobermans You Own/Co-Own:

Interests & Activities
I am interested in:

Other
I currently do:

Other
Additional Information:
Are you an AKC Judge?
Do you handle dogs professionally?
Have you bred Dobermans?
If Yes, how many litters?
Kennel Name:
AKC Registered?
Other Dog Clubs & Positions Held:
Pilgrim Members You Know:
Why do you want to join Pilgrim?
Agreement:
I hereby apply for membership in the Pilgrim Doberman Pinscher Club Inc. and submit this application together with a dues payment for the current year. Please note, applications approved on or after October 1 of the current year will have their payment applied to dues for the coming year.

If accepted, I agree to abide by the Constitution and By-Laws of the Pilgrim Doberman Pinscher Club, Inc. and to put forth all effort toward the betterment of the Doberman Pinscher breed.
Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit year
Sponsor # 1 Name:

First NameLast Name
Sponsor # 2 Name:

First NameLast Name
Sponsor Endorsement:

Regular Member

$25.00

Associate Member

$18.00

Junior Member

$10.00

Total

Credit Card

Apple Pay

Google Pay