| 2008 Renewal Form |
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METROPOLITAN AREA PAPILLON CLUB OF WASHINGTON, DC, INC
DUES RENEWAL- 2008 Annual MAP Club dues are due by November 1, 2007 for the calendar year 2008. Fill out form below and mail in with your check. NOTE – New members who joined after June 30, 2007 do not need to renew their dues until November 1, 2008.
NAME:_________________________________________________________________________
ADDRESS: _____________________________________________________________________ _____________________________________________________________________
CITY:_______________________________________ STATE:___________ ZIP:_____________
PHONE NUMBER:_______________________________________________
KENNEL NAME_________________________________________________
EMAIL ADDRESS:_______________________________________________
Additional family member(s):___________________________ Regular and Associate membership: $20.00 AMT. $
Additional family member: $5.00*** AMT. $
Junior Membership(under 18yrs.): $4.00 AMT. $
Breeders’ List: $8.00 AMT. $
Contribution to 2009 Trophy Fund: o $20.00 o $25.00 o $50.00 o $100.00 o $ Other
TOTAL AMOUNT ENCLOSED $______
Send with check to: Jan Nadeau, Treasurer, MAP 340 Broadview Lane Annapolis, Maryland 21401
***If additional family member is not currently a member, that person must fill out a regular MAP application to be submitted to the membership and read at two MAP meetings in order to be eligible.
FOR TREASURER’S USE ONLY DATE
PAID BY: CHECK:_______ CHECK NO: AMOUNT:____________
CASH:________ AMOUNT:____________
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