LONE STAR MASTIFF FANCIERS

MEMBERSHIP APPLICATION

Membership is open to all individuals 18 years of age or older, in good standing with the American Kennel Club, who subscribe to the purposes of this club. It is not necessary to be a member of the Mastiff Club of America (MCOA), but any person not in good standing with the MCOA, or who has been suspended or been denied membership into the MCOA is not eligible for membership in Lone Star Mastiff Fanciers. One name per application. Print clearly or type. Dues will be collected upon approval of membership or may be presented along with this application. Mail or give the completed application within 30 days of the last signature on the application to the Secretary (see below).

___Individual Membership annual dues: $20.00 ___Household Membership annual dues: $35.00

(note, persons in the same household may choose to apply for individual memberships and pay the full individual dues as a benefit to the Club).

Voluntary donation to Club $_________ Voluntary donation to benefit MCOA Rescue $_________

MAKE ALL CHECKS PAYABLE TO “LONE STAR MASTIFF FANCIERS”

APPLICANT NAME ___________________________________________________________________

ADDRESS ________________________________________________________________

CITY ________________________ STATE _________ ZIP ___________(+4)________

TELEPHONE ____-____-_____ Publish? Yes / No FAX ____-____-_____ Publish? Yes / No

EMAIL ______________________ Publish? Yes / No

Are you a member of The Mastiff Club of America? Y / N If so, are you currently in good standing? Y / N

Have you ever faced discipline, expulsion or been denied membership into the MCOA or any other dog club? N / Y

Do you plan to breed? Y / N; show in: conformation? Y / N obedience? Y/ N

Other Interests _____________________________________________________________________

HAVE YOU EVER APPLIED BEFORE? Yes / No IF YES, WHEN? _______________

KENNEL NAME (Optional) _________________________________________________

OCCUPATION (Optional) __________________________________________________

List other Breed Specialty Clubs or All Breed Clubs to which you belong.

________________________________________________________________________

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 Lone Star Mastiff Fanciers and those of the American Kennel Club. I am eligible for membership as specified above and have attained the required age to become a member.

Date ____/____/____ Signed __________________________________________________

Printed __________________________________________________

Beginning June 1, 2003 each applicant must be sponsored by two LSMF members who are not related to Applicant or each other and who are either founding members in good standing or who have been members in good standing for a minimum of one year. We, the undersigned LSMF members, do individually recommend this applicant:

Date ____/____/____ Signed __________________________________________________

Printed __________________________________________________

Date ____/____/____ Signed __________________________________________________

Printed __________________________________________________

PLEASE LIST MASTIFF(S) YOU HAVE: (Optional)

Dog's Name _____________________________ Dog's Name _____________________________

Breeder ________________________________ Breeder ________________________________

Dog's Name _____________________________ Dog's Name _____________________________

Breeder ________________________________ Breeder ________________________________

PLEASE NOTE: The completed application must have the Code of Ethics on the back or attached to this form.

OFFICE USE ONLY: Date Received ___/___/___Read___/___/___ Elected ___/___/___ Rejected_________

Mail to: LONE STAR MASTIFF FANCIERS, c/o Bonnie Blink, 31445 Lazy Ridge Rd, Waller TX 77484

Note: make checks payable to Lone Star Mastiff Fanciers

[as revised and approved by the Board on 1/12/2003]