Pomeranian Club of Greater Baltimore Inc.

<%@LANGUAGE="VBSCRIPT" CODEPAGE="1252"%> Pomeranian Club of Greater Baltimore Inc.


Date:


Name:		Birth Month/Day:


Address:		City:		State:		Zip:


Phone:		Cell:		email:


Spouse / Person 2:		Birth Month/Day:		Anniversary:


Your status (check ALL that apply):		Breeder		Exhibitor		Owner		Handler


Membership requested (check ONLY one):		Individual ($20)		Family ($25)		Junior ($5)


Number of Poms you own now:		1 - 5		6 - 10		11 - 20		over 20


Pom's Name		Registration No.


Are you interested in Obedience Classes?		YES		NO


Have you bred a litter of Poms in the past year?		YES		NO


Have you exhibited any Poms in the past year?		YES		NO


Do you own any other breeds?		YES		NO	If YES, what kind(s):


Do you belong to any other clubs?		YES		NO	If YES, please list:


Sponsors:


Please mail with dues to:	(Make checks payable to "PCGB Inc.")
Membership Secretary		Date Received:
Joanne Rusk		Dues: $
8025 Nicky Court		Date Approved:
Laurel, MD 20723

© 2006 Pomeranian Club of Greater Baltimore, Inc. All rights reserved.

Design, Maintenance and Hosting donated by Joanne and Michael Rusk.