Nmhda Membership Form 2012

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NEW MEXICO HERDING DOG ASSOCIATION

APPLICATION FOR MEMBERSHIP

Membership application must be signed by two Association members in good standing before presentation to the
Secretary. It will be voted on at the next club meeting and must receive affirmative votes of 2/3 of the members
present and voting by secret ballot at that meeting. Applications that are rejected may not be refiled within six
months. The application must be accompanied by dues for the current year. After acceptance of membership, the
funds will be forwarded to the Treasurer for deposit; if the application is rejected the funds will be returned to the
applicant.
DATE:

___________________________________________

NAME: ___________________________________________
MAILING ADDRESS:

EMAIL: _____________________________

________________________________________________________________________
________________________________________________________________________

HOME PHONE: ___________________________


OCCUPATION:

CELL PHONE: ______________________________________

_______________________________________________________________________________

BREEDS OF DOGS YOU WORK WITH:


YOUR HERDING EXPERIENCE:

_________________________________________________________

________________________________________________________________

_____________________________________________________________________________________________
YOUR HERDING INTERESTS:

________________________________________________________________

_____________________________________________________________________________________________
NMHDA CLUB MEMBER ENDORSEMENT: ___________________________________________________________
NMHDA CLUB MEMBER ENDORSEMENT: ___________________________________________________________

I have read and agree to abide by the Constitution and Bylaws of the New Mexico Herding Dog Association:

_____________________________________________________________
Signature
Mail to: Anne Embry, NMHDA Secretary, 2 Isidro Road, Santa Fe, NM 87508 (505-466-3450).
Attach payment of dues: ___$15 Associate Member (non-voting) ___$25 Regular ___$40 Family (2 adults)
12/2011

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