MEMBERSHIP APPLICATION

The American Dobermann Association preserves the Dobermann breed as protection, family companion, and working dog, according to FCI Standard

Name
Address
City State Zip Code

Home Phone Daytime Phone

Fax Email

New Member Renewal (must be made within 30 days of your expiration)

Single Membership US $ 60.00

Family Membership US $ 90.00

Youth Member US $ 30.00 - 18 & under ___ / ___ / ___ ( month / day / year )

Single Foreign Membership US $ 80.00

Family Foreign Membership US $ 120.00

Please remit payment in US fund only. Print and mail to:

American Dobermann Association - Po Box 2231 - Snohomish, WA 98291 - USA

I, the undersigned, agree to abide by the By-laws, rules and regulation of the American Dobermann Association (ADA). I shall do my best to uphold its purpose of promoting and preserving the natural talents of the Dobermann breed as protection, family companion, and working dog, according to the FCI Standard. I shall conduct myself in a sportmanlike manner at all times.

Applicant's Signature: ______________________________________ Date: ____________________

For ADA office use only: Date received: __________________ Total amount: _______ Check # _______