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