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INDIVIDUAL MEMBERSHIP RENEWAL FORM
January 1, 2018 to December 31, 2018
Name
Address
City, State, Zip
Country
Telephone
Email
Kennel Name
Website
   
Are you under the age of 18? No      Yes
   
Check which type of membership you are renewing:
  US Resident  ($10.00)
  Non-US Resident ($0.00) (Non-voting membership)
  Under 18 Years ($0.00) (Non-voting membership)
   
Paying dues by:    Check    PayPal   (See instructions at the bottom of the form)
   
Check all that apply:  
  Mudi Owner   Interested in Conformation Events
  Mudi Breeder   Interested in Companion/Performance Dog Sports
  AKC Judge   Interested in Family Companion
   
Please list your other dog club/organization memberships
   
Have you ever been denied memberships in or been suspended by any dog club and/or suspended by the American Kennel Club?
  No      Yes If Yes, please explain:
   
I am willing to help the MCA in the following way(s):  
  Legislative Liaison   Mudi National Specialty Chair / Committee Member
  Mudi Matters e-Newsletter   US Mudi / MCA Historian
  Judges / Public Education   2018 Board Position
  Another way  (Please describe)
   
Comments / Explanations
Mudi Club of America, Renewing Member Agreement – The below signed applicant agrees to abide by the MCA Constitution and Bylaws, and the rules of the AKC to the best of their ability, to act in the best interest of the Mudi breed, and to aid others in honoring the contents of these documents.
   

Email Authorization Option

The Mudi Club of America has adopted email communication, unless otherwise defined in the C&BLs, as a method of notification for club meetings and other club notices or business which may include but are not limited to dues notices or reminders, judge selection, minutes, newsletters and surveys. This is to comply with AKC Club Relations Policy: http://www.akc.org/pdfs/clubs/club_policies/ALL_CLUB_EMAIL_NOTIFICATION_Policy-Jan_2006.pdf

Members who sign this MCA Membership Renewal Form are agreeing to activate email communication, or may choose not to receive any notifications. Such authorization is revocable. The Club is released from any liability should notifications be received late or not received by a member or board member due to circumstances beyond the Club's control.

The returned forms will be maintained on file both as hard copy and electronically. If there is a change in status, email address or mailing address please advise the Corresponding Secretary of such changes.

Mudi Club of America, Renewing Member Agreement – The below signed applicant agrees to abide by the MCA Constitution and Bylaws, and the rules of the AKC to the best of their ability, to act in the best interest of the Mudi breed, and to aid others in honoring the contents of these documents.

 

By typing your name, you are providing your electronic signature to this application: 

Date of Application: 

 

 

Upon submission, you will be directed to a new page with payment option information, which does have an option to pay via PayPal.