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MEMBERSHIP APPLICATION
Initiation Fee is $15.00 per member application
Dues are $ 20.00 per member payable by January 1st each year
Initiation fee and first year's dues MUST be paid at the first meeting after the application is sent.
After July 1st each year, dues are $10.00 plus the $15.00 initiation fee.
Note: To download this form and submit at a NJ Boxer Club meeting click on the link below.
Member Application Form Download
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=Required Fields
Name
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First
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Last
Address
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Street Address
Address Line 2
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City
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State - 2 Characters
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5 Digit Postal / Zip Code
United States
Afghanistan
Albania
Algeria
Andorra
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo
Costa Rica
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
Country
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Phone
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Occupation
Business Phone
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Cell Phone
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Email
The By-Laws of the New Jersey Boxer Club, Inc. state an applicant must;
(1) Own at least 1 registered boxer;
(2) Be sponsored by 2 members, not of the same address, unrelated to the applicant and to each other;
(3) Be in good standing with the American Kennel Club
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Do you meet these requirements?
Yes
No
Section Break
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How Many AKC registered Boxers do you presently own?
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Give ages of the dogs
Where are your dogs kept
House
Kennel
Kennel Name (if any)
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When did you first own a Boxer?
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Dog was obtained from?
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Have you bred any litters of Boxers
Yes
No
If so, how many?
Are you currently showing in
Agility
Conformation
Obedience
Rally
I do not currently exhibit
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Do you own any other breeds of dogs?
Yes
No
If so, list the breeds?
Who is your Veterinarian?
List any dog-related organizations to which you belong and any offices you have held therein:
Why are you interested in joining the New Jersey Boxer Club, Inc.?
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Give the names of 2 members in good standing, not of the same address, unrelated to the applicant(s) and to each other:
List the names of people identified with Boxers with whom you are acquainted:
If accepted for membership would you
Actively serve on club Committees, if requested?
Agree to abide by the
NJBC's Constitution and By-Laws?
A check equals a Yes
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Signature
Entering your name signifies you agree with the terms.