Willamette Toy Dog Fanciers
Membership Application
Willamette Toy Dog Fanciers, Inc.
Membership Application
Approved July 24, 2002

Name:_____________________________________________________________________________

Address:___________________________________________________________________________

Phone:________________________________Fax:_________________________________________

Occupation:___________________________E-Mail:________________________________________

Sponsors:___________________________________________________________________________

1.        What toy breed(s) are you currently interested in?___________________________________

2.        Are you a Breeder________, Exhibitor___________, Fanicer___________?

3.        How many years have you been a Breeder__________, Exhibitor_________,
Fancier________?

4.        Do you produce litters on a regular basis?  ______Yes    __________No

5.        What sources do you use to place your puppies?____________________________________

6.        To what other dog organizations do you belong?____________________________________

7.        What offices have you held in these organizations?__________________________________

8.        Has AKC or any other dog organization ever suspended you?   YES______      NO________
If yes, please explain._____________________________________________________________
___________________________________________________________________________________
9.        Why do you wish to become a member of Willamette Toy Dog Fanciers,
Inc.?________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
___________________
10.        Check any of the following items or add your own, that you would be willing to work with
If accepted to membership of the WTDF, Inc.
_____ Rescue                _____ Agility                        _____ Awards Meeting
_____ Show Committee        _____ Public Education                _____
_____ Raffle Committee        _____ Advertising                _____
_____ Legislation        _____ Breed Referral                _____



I hereby make application for membership in Willamette Toy Dog Fanciers, Inc.  If accepted for
membership, I agreed to abide by the Constitution, By Laws and Code of Ethics that govern this
organization.


________________________________________________________        _____________________
Signature of Applicant                                                Date
Please Click here to go to the
s
econd page .....
Join our club and join the fun! Here's all you do....Use your right
mouse button to highlight the form elements, then copy and paste
into a new document on your existing word processing program
(Word, Works, WordPad) then print!  Then, complete the three
forms (Application/Sponsor Sheet/Code of Ethics) and mail them
to:
Joy Thoms  
P.O. Box 121
Molalla, OR 97038

Still have questions?  Phone Joy at 503-829-6012