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

*=Required Fields

Name *First *Last
Address
*Street Address

Address Line 2

*City

*State - 2 Characters

*5 Digit Postal / Zip Code

Country
*Phone - (###) - ### ####
Occupation
Business Phone - (###) - ### ####
Cell Phone - (###) - ### ####
*Email

The By-Laws of the New Jersey Boxer Club, Inc. state an applicant must;

*Do you meet these requirements? Yes No
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*How Many AKC registered Boxers do you presently own?
*Give ages of the dogs
Where are your dogs kept House Kennel
Kennel Name (if any)
*When did you first own a Boxer?
*Dog was obtained from?
*Have you bred any litters of Boxers Yes No
If so, how many?
Are you currently showing in
*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.?
*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
*Signature

Entering your name signifies you agree with the terms.

MEMBERSHIP APPLICATION

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