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Today’s Date: |
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Complete form with your information. Mail completed form to address below. Please print clearly. |
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New or Renewal |
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Name |
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Address City, State, Zip |
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Dog’s Name(s) and Breed(s) |
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Phone |
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Membership Fee: $10 per year per person or 3 years for $25 per person |
Please Circle One Donations gratefully accepted!! 1 Year $10 2 Years $20 3 Years $25 |
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I hereby declare that I am a responsible dog owner, providing love at all times, and vaccinations and medical care whenever needed. I declare that I intend to keep my dog under control, both on and off leash, whether at an M-DOGS group event, or any other time I am out with my dog. Signed: |
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Please make checks payable to M-DOGS. Please note "M-DOGS membership" on memo line. Incomplete or illegible forms will be returned. |
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Mail
completed form to: 2771 Glen Ave Merced, CA 95340 |
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