YANKEE WEIMARANER CLUB                                                                               
                     APPLICATION FOR MEMBERSHIP 
                                                                                                   


Name(s): _______________________________________________ Date:____________

Street: _________________________________________________ City: ____________

State: ______ Zip: ________ Phone: ________________

Email: ___________________ Occupation: ______________________________

I presently own _____ Weimaraners


Signature of Sponsors:
  1. _____________________________________________
  2. _____________________________________________


I hereby apply for Membership in the Yankee Weimaraner Club and if accepted I agree to abide by the Club’s Constitution and By-Laws and the rules of the American Kennel Club.


Check one of the following and enclose dues for current year (1/2 amount from X to X) (    ) Single Membership $20 (    ) Family Membership $25


Return to Secretary: Jennifer Cermak, One Peabody Street, North Reading, MA 01864 (617) 710-8810