Membership Application

If you wish to print an application and send it via mail, please download and complete the ANA Membership Application located below the online form - please note the membership fees have been updated - individual membership is now $10. You can submit your membership fees via check (address listed in the PDF application) or PayPal to amnobsstuff@gmail.com.

Code of Ethics
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File Type:	pdf

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* Indicates required field

I hearby make application for (choose one) *

membership in the American Norrbottenspets Association and enclose the annual dues for the year of *

I agree to abide by the Constitution and By-Laws of the American Norrbottenspets Association (and the rules of the American Kennel Club).

Applicant (1) Name *

First

Last

Occupation *

Applicant (2) Name: *

First

Last

Occupation *

Kennel Name (if applicable): *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Numbers:

Home: *

Cell (1) *

Cell (2) *

Work (1) *

Work (2) *

Email *

Website: *

Why do you wish to join the ANA? *

Number of Norrbottenspets owned/co-owned: *

Other dogs: *

List all dog titles and accomplishments: *

List all membership in other Breed or All Breed Clubs, duties/offices held, and dates of membership: *

What skills can you contribute to the ANA? *

Are you willing to screen your dog(s) for hereditary genetic problems? *

Yes No

Do you accept responsibility for any dog of your breeding that comes into a rescue situation? *

Yes No Not Applicable

Would you be able to foster a rescue Norrbottenspets not of your breeding? *

Yes - Temporarily Yes - Permanently No

Do you sell or consign or have you ever sold or consigned dogs to retail or wholesale outlets or other persons supplying them? *

Yes No

Typing your name below is a request for membership and an acknowledgement of and agreement to the following:

I grant permission to members of the ANA to review my application.
I certify that the information given in this application is factual and complete.
I understand that discovery of false or misleading information in my application may result in rejection of my application, or, if discovered after my membership is accepted, may result in expulsion from the membership.
I have read the ANA Code of Ethics and agree to abide by its guidelines.

Type your full name here: *

Please submit your membership fees to the ANA either via check (made out to ANA) or PayPal to amnobsstuff@gmail.com.

Submit

ANA Membership Application
File Size:	282 kb
File Type:	pdf

Download File