Affiliate Club Application

Date_________________

Name of Club__________________________________________

 Officers:

          President_________________________________________

          Secretary_________________________________________

          Address _________________________________________

          E-mail_______________Telephone___________Fax_____

          Treasurer________________________________________

          Breeder Referral _________________________________

          Rescue Person____________________________________

          Other Committee chairs____________________________

          _________________________________________________
          _________________________________________________

          _________________________________________________

Date Club was formed__________________________________

Date Const/By/Laws approved (attach copy)________________

Date Club was approved to hold shows____________________

Total Membership (attach a membership list)_______________

Fee______________________

This club and its members abide by the ATFTC’s Constitution and By Laws as well as the Code Of Ethics as set down for its members in establishing standards for the welfare of the breed.

THE AMERICAN TOY FOX TERRIER

_________________________________

CLUB SIGNATURE

___________________                   ______________________

       Date Approved                                  Secretary ATFTC