DACHSHUND FANCIERS OF CENTRAL VIRGINIA

Application for Membership 

The objectives of the club are to:

APPLICATION FOR MEMBERSHIP INFORMATION

I hereby make application for membership in the Dachshund Fanciers of Central Virginia. I agree to abide by the Constitution and By-laws of the Club, and to help achieve its objectives in the spirit of friendliness and sportsmanship set forth. My check/cash/money order for is enclosed for ________(Fee is $15.00 for single membership or $25.00 for family membership)

Name of Applicant(s) (Please Print) : ___________________________________

Address: :__________________________________

Phone (home): (_ )_________Office: ( __)_____________

Do you own dachshunds? Yes No How many?_______ Variety : Smooth WIre Long

AKC registered Yes No

Do you show dachshunds yes Have you bred Dachshunds Yes No

Are you in good standing with: AKC: Yes No

Dachshund Club of America: Yes No

National Miniature Dachshund Club: yes No

Sponsors Signatures: (Please provide two) (Sponsors must be members in good standing with DFCVA)

1.________________________

2.________________________

Signature of Applicant:___________________ Date:_________________

Please make checks/money orders payable to: Dachshund Fanciers of Central Virginia

Mail to: Kitty Johnson, 1200 Peachtree Blvd, Richmond, VA 23226 or phone: 804-285-2766 for questions

For office use: Notified member ________(Date) Secretary initials