Airedale Terrier Club of Illinois

Application for Membership

1.  Fill in application below

2.  Attach sire and dam for each Airedale that you own or co-own, including the names of the breeders, if available.

3.  Submit application along with a check for $20.00 to the Club Secretary or bring completed application to a club meeting.

4.  Attend club meeting.  Date, time and location will be listed on the ATCI website: 

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Name:  ______________________________________________________________________________________________________________

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Address:  ____________________________________________________________________________________________________________

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City:  ______________________________________________________________  State:  _____________________  Zip:  ________________

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Home Phone:  (          ) ______________________________________  Cell Phone:  (          ) ________________________________________

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Email:  _______________________________________________________________________________________________________________

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List any dog club affiliations: ___________________________________________________________________________________________

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Do you breed Airedales?  (Y/N) __________________     Kennel Name: _______________________________________________________

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Are you an exhibitor of Airedales?  (Y/N) ______________  If Yes, are you involved with:  (Y/N)

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Conformation ___________  Obedience _______________  Agility _____________  Rally  ______________ Barn Hunt ________________

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Other  ________________________________________________________________________________________________________________

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The ATCI is involved in activities over the course of the year.  We hope that you will be able to give of your time and skill and assist the Club in one of these activities.

Please indicate areas of interest:

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June Specialty ________________  Meet the Breed _____________  Club Member Events ________________ 

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Other skills the Club might find of assistance ______________________________________________________________________________

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Please contact the Club Secretary if you have further questions.  ATCI is looking forward to meeting you and your Airedale(s).

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I am interested in the Airedale Terrier and I subscribe to the Club's objectives to promote the best interests of the breed.

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Signature: _______________________________________________________________  Date: ____________________________

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