| MEMBERSHIP APPLICATION |
Cental Florida Terrier Club Membership Application Single 20.00__________ Family 25.00__________ Date_____________ Name__________________________________________________________________ Address_________________________________________________________________ City________________________State_____________________Zip________________ Phone_____________________________E-mail________________________________ Are you willing or able to foster a Terrier in need?____________ Do you wish to have your website/e-mail listed in the Member Directory?___________ Are you willing to help work point/fun shows?__________ Do you agree to abide by the constitution and by laws of this club?__________ May we use photos of your dogs taken at point or fun shows?__________ Comments or Suggestions: _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ Signature:__________________________________________Date_________________ Mail to: P.O. Box 6285 Lakeland, FL 33807 |

| IF YOU WOULD LIKE TO PAY FOR YOUR MEMBERSHIP THROUGH PAY PAL PLEASE CLICK BELOW. IF USING PAY PAL MEMBERSHIP WILL BE 21.00 , 26.00 Family Membership Single Membership |
| MEMBER BENEFITS |