PLEASE COMPLETE AND RETURN TO US

APPLICATION FOR MEMBERSHIP

Date :

Please fill out NAME OF MEMBERSHIP line in the exact
way you wish your membership to read and in the way
you will sign all papers concerning your sheep.
Ownership of the sheep and the membership MUST
READ THE SAME.

Debra Hopkins, Exec. Sec./Treas..
North Scituate, RI 02857

Please consider me as an applicant for membership in
The Continental Dorset Club. Should I be received Into
membership, I will support the Constitution and By-Laws, and I
will use all honorable means to advance the interests of Dorset
Sheep and my, associates in the Continental Dorset Club. Life,
Membership - $20.00 SEE INSTRUCTIONS ON BACK OF APPLICATION.

Membership/ownership and the flock name you choose
to use are not necessarily the same.

Joint memberships are acceptable provided the flock is
also jointly owned. Memberships are not transferable
nor can additional names be added or names deleted
after the membership is issued.
.

NAME OF MEMBERSHIP / 0WNERSHIP:

NAME OF APPLICANT

OR CONTACT PERSON

ADDRESS

TOWN

STATE

ZIP

PHONE

FLOCK NAME

RECOMMENDATION:

I recommend

as a breeder who will make an active member of the Dorset Club.

The space above is for a signature of recommendation which
we prefer be given by a person who is already a Dorset Club
member. If this is not convenient, we will accept the signature
of your County Extension Director or a Farm Officer at your
bank. The Application must be returned to us because the
membership will NOT BE VALID until the paid Application is
received in our office and your Certificate of Membership is
issued and sent to you.

(name of membership)