By completing this form, I understand that I am becoming a member of a club that is newly forming with the best of
interest in mind for the Boston Terrier breed. I am enclosing my membership fee of $10 for membership through the
year of 2008. This fee is to be paid by cash or money order. Currently no checks are being accepted. I will receive a
renewal notice in the mail the first week of December. I understand all fees are used strictly for the club and the
decisions of how the fees are to be used are determined by the club. This club is non-profit and here for the
gaining/sharing of knowledge in a harmonious atmosphere and to have fun learning about Boston Terriers and the
colors they can come in.
Name:_________________________________________________________
Address:_________________________________City:____________ State:_______
Zip Code: _____________
E-mail: ____________________________ Phone Number: _____________________
Are you owned by a Boston Terrier?___________________
If so, how many and what color(s)? __________________________________________
~Are you a breeder of Boston Terriers?______ If so, for how many years? ________________
~If you are a breeder, would you like to be considered as a reference for potential Boston Terrier adopters? _________
(By saying yes, you are giving us permission to contact you directly about further information into your breeding
program through phone or email.)
~Why do you want to join the ACBTC?
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
Your name may appear on the webpage or in the newsletter as a new member. By initialling here _______ you are giving us permission to do
so. If you do not initial, your name is kept completely confidential and will not be released.
________________________________________________________________ _____________________________________________
Signature of Applicant Date
The club reserves the right to refuse membership to any applicant. In the event that the membership is refused, the fee will be returned to the applicant. Logo is © Copyright of the All Color
Boston Terrier Club. This section is to be used by club only.
Date of Review:______________________
Reviewed by:_________________________
interest in mind for the Boston Terrier breed. I am enclosing my membership fee of $10 for membership through the
year of 2008. This fee is to be paid by cash or money order. Currently no checks are being accepted. I will receive a
renewal notice in the mail the first week of December. I understand all fees are used strictly for the club and the
decisions of how the fees are to be used are determined by the club. This club is non-profit and here for the
gaining/sharing of knowledge in a harmonious atmosphere and to have fun learning about Boston Terriers and the
colors they can come in.
Name:_________________________________________________________
Address:_________________________________City:____________ State:_______
Zip Code: _____________
E-mail: ____________________________ Phone Number: _____________________
Are you owned by a Boston Terrier?___________________
If so, how many and what color(s)? __________________________________________
~Are you a breeder of Boston Terriers?______ If so, for how many years? ________________
~If you are a breeder, would you like to be considered as a reference for potential Boston Terrier adopters? _________
(By saying yes, you are giving us permission to contact you directly about further information into your breeding
program through phone or email.)
~Why do you want to join the ACBTC?
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
Your name may appear on the webpage or in the newsletter as a new member. By initialling here _______ you are giving us permission to do
so. If you do not initial, your name is kept completely confidential and will not be released.
________________________________________________________________ _____________________________________________
Signature of Applicant Date
The club reserves the right to refuse membership to any applicant. In the event that the membership is refused, the fee will be returned to the applicant. Logo is © Copyright of the All Color
Boston Terrier Club. This section is to be used by club only.
Date of Review:______________________
Reviewed by:_________________________
| YES-I want to be a member of the All Color Boston Terrier Club! |
Contact ACBTC Member ID# (Assigned after Review):________________________
for mailing address
for mailing address
| Application for Membership |