MCOA MEMBERSHIP APPLICATION
(revised 11/07)
MASTIFF CLUB OF AMERICA, Inc.
Incorporated 1929
Member of the American Kennel Club
Membership is open to all reputable persons 18 years or older (or at least 10 years or older for Juniors), in good standing with the American Kennel Club, and who subscribe to the rules and purposes of the club. One name per application. Print clearly or type. Applicant understands that they will not have voting or office holding privileges until they become active members pursuant to Article I, Section I of the Bylaws. Mail the check or money order and the completed application within 30 days of the last signature on the application to the MCOA Membership Secretary at the address listed on the MCOA website at http://mastiff.org/faq/contacts.htm
MCOA Membership Application
Include a check or money order (U.S. funds) made payable to the MCOA for the total amount indicated below:| Processing Fee | Includes Member Handbook if approved, non-refundable | $10.00 |
| Dues | Circle either: $35 for Associates, or $15 for Juniors | $35.00 or $15.00 (Jr) |
| Journal Subscription | Optional, 2 issues per year | $21.00 |
| Total amount included | Add for total: | $ |
Member type being applied for:
| __ Junior | For those at least 10 and less than 18 years of age Please also indicate the date you will turn 18 __________/_________/_________ |
1 sponsor may be family member. Both sponsors must be active members of not less than 3 years, and in good standing. | |
| __Associate | For those 18 years or older | Sponsors can not be family members or related to each other, and must be active members of not less than 3 years, and in good standing. |
NAME __________________________________________________________________________
ADDRESS ______________________________________________________________________
If mailing address is a PO Box, also include your physical address for MCOA records only: _______________________________________________________________________________
CITY _________________________ STATE _________ ZIP ______________(+4)_____________
TELEPHONE ____-______-_______ Publish in MCOA directory? Yes / No.
FAX ____-____-_____ EMAIL__________________________________________________ __________________________________________________________________________
Do you plan to breed? Yes / No , or (plan to) show? Yes / No (optional)
HAVE YOU EVER APPLIED BEFORE? Yes / No IF YES, WHEN? _____________________
KENNEL NAME (Optional) ____________________________________________________
I have read the Code Of Ethics (include a copy - preferably on back). I agree to abide by these rules, the Constitution and Bylaws of the MCOA and those of the American Kennel Club. I have attained the required age to become a member.
Date ___/___/___ Signed _____________________________________________________
Printed _____________________________________________________
Each applicant must be sponsored by two MCOA members as indicated above. We, the undersigned MCOA members, do individually recommend this applicant:
Date ___/___/___ Signed _____________________________________________________
Printed _____________________________________________________
Date ___/___/___ Signed _____________________________________________________
Printed _____________________________________________________
PLEASE LIST MASTIFF(S) YOU HAVE: (Optional)
Dog's Name _____________________________Breeder ________________________________
Dog's Name _____________________________Breeder ________________________________
PLEASE NOTE: The completed application must have the Code of Ethics on the back of the form.
OFFICE USE ONLY: Date Received ___/___/___ Letter Sent ___/___/___ Board Approved ___/___/___