PeciNO. THE PHILIPPINE CANINE CLUB, INC. P.O. Box 649 Greenhills, 3113, Room A206 Hillcrest Condominium ; PHOTO MEI ; 4616E. Rodriguez Sr., Avenue MEMBERSHIP Cubao, Quezon City, Philippines CARD Tel. Nos.: 724-8345 ; 724-7452 Print Fall Name Last ~ First Middle complete Home Aadress (Street, District, Municipality, Gy, Province) Zp cow 1 - Date of Birth Place of Birth: ] Sex: MIVOOVY oe |S () status Crttzensnip: [~) pupino [| ormers pie. specny) reno | reeere® Position [eee Pa Botan mene otice Address: 7 ves Yes Would you like to participate in our dou shows? Cl} No Can we call you to help in our club activities? Ono| apply to become an ASSOCIATE MEMBER of the Philippine Canine Club, Incorporated, and in so doing | expressly acknowledge the jurisdiction of the Philippine Canine club, Inc. (PCCI) as the SOLE governing body in the Republic of the Philippines in respect to all canine affairs and | agree to abide by ell Rules, Regulations, Resolutions and By-Laws of the Philippine Canine Club, Inc, And or its Board of Directors, which may be In force during the period of membership. 3. PLEASE USE BLACK PEN AND SIGN WITHIN BOX PHILIPPINE CANINE CLUB, INC. will recognize only one signature on the above registration of dogs and other transactions under my name