Please Note:

Before filling out this application please read the current Code of Ethics of the Sovereign Rottweiler Club.

Important: Whether for New Member or if renewing your membership, this signed application MUST accompany your cheque/money order.
Membership term is from January 1 to December 31, regardless of when you join. A membership package will be sent to you upon acceptance of this signed application and membership fee (unless this is a membership renewal). All application information is held in strict confidence. Any individual of any age is invited to apply for membership. You do not have to own a Rottweiler to join. Your check or money order must accompany this application. US and International memberships in US funds please (taken at par)

This will now be the ONLY RECORD for your membership mailings, database, discounts, etc.

Thank you for your interest in becoming a member of the Sovereign Rottweiler Club!

SRC MEMBERSHIP APPLICATION
YOUR INFORMATION

This Application is for (check one):

New Member Membership Renewal

Type of Membership:

Single Membership - $20 per year
$10 yearly thereafter
An Individual Membership , consisting of 1 person, 18 years of age or older, said being entitled to one vote and one of all member privileges & discounts, and one name on the Membership Card. Includes one FREE subscription to the Rottie Rumble Newsletter.
OR Family Membership - $25 per year
$15 yearly thereafter
Family memberships consisting of any 2 persons residing in the same household, 18 years of age or older, are entitled to two votes and two of all member privileges & discounts, and two names on two separate Membership Cards. Includes one FREE subscription to the Rottie Rumble Newsletter.

Name (last):
Name (first):

Street Address:
Apartment No.:

City
Prov/State

Postal/Zip Code
Country

Home Tel:
Bus. Tel:

Fax:
E-Mail:

One Additional Member (For Family Membership ONLY)
Name:

OTHER INFORMATION

Do you currently own a Rottweiler?

Yes No

If Yes, please list.

I have exhibited Rottweilers in CKC sanctioned shows.

Yes No

I have registered one or more litters with the CKC

Yes No

Are you a member of any other dog clubs?

Yes No

If Yes, please state affilations or offices held.

Are you a breeder of Rottweilers?

Yes No

If Yes, What is your Kennel Name?

Rottweiler Interests, please check all that apply:
Obedience Showing Owner/Fancier Handling Breeder Other

If you are interested in active involvement in Sovereign Rottweiler Club activities, please describe the areas that would appeal to you

Click to Select. Would you volunteer for any of the following? Show/Match Help, Ring Steward, Newsletter, Board of Directors, Breed Specific Legislation, Any other ideas?

PRINCIPAL MEMBER
I am 18 years of age or older:

Yes No

My signature below confirms that I have read the current Code of Ethics of the Sovereign Rottweiler Club and agree to abide by them.

Date: ____________________ Signature: ____________________

ADDITIONAL MEMBER (For Family Membership Only)
I am 18 years of age or older:

Yes No

My signature below confirms that I have read the current Code of Ethics of the Sovereign Rottweiler Club and agree to abide by them.

Date: ____________________ Signature: ____________________

(all information received will be considered strictly confidential)

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