MSC 2023 Dues Renewal Form

Here is a copy of the Dues Renewal Form.
Just print it out and mail it to Eliza along with your check. 

 

 

    MSC Embroide Me Logo-cropped_edited-1 Minuteman Samoyed Club
2023 Dues Renewal
        

 To continue Membership, your dues must be received by January 1, 2023

Annual Dues

$20   Individual Membership

$25   Family Membership

$15   Associate Membership

No Fee – Junior Membership

Please Complete and Return with Payment

Name(s):___________________________________________________

                 ____________________________________________________

 Kennel Name: ______________________________________________________________ 

Address:  _______________________________________________________

City:  __________________  State:   ____   Zip: _____________

Phone(s): _____________________________          ___________________________________

Email: ______________________________________

Membership type: Individual __________     Family __________       Associate _________

Total Amount Enclosed: $ ____________

 

I hereby authorize the Club to send all Club correspondence to me via email.

_______________________________________________________________

 (Member Signature Required)

Checks may be made payable to:  
Minuteman Samoyed Club” or “MSC”

Please return completed forms and payments to:

Eliza Wong
8 Pratt Drive
Norton, MA 02766