Become a Member - You can simply fill out and submit the form below and then send in your payment or you can Click Here to download the application in an Adobe pdf format that you can fill out and then print. Then simply send in your payment with the application. If you don't have Adobe Reader click the icon below to download it, its free. You can also download the application in word (.doc) format Here and then simply print it, fill it out and send it to us. Please remember to include your payment as your application will not be processed until payment has been received.

Get Adobe Reader

Canadian Miniature Pinscher Club
APPLICATION FOR CMPC MEMBERSHIP & RENEWAL
   
NAME:
KENNEL NAME:
ADDRESS:
CKC #
CITY:
CMPC #
PROVINCE/STATE:
TATTOO COMBINATION:
POSTAL/ZIP CODE:  
PHONE NUMBER:  
E-Mail ADDRESS:  
   
   
Length of time involved with breeding/exhibiting Min Pins?
Currently active in conformation/obedience/other?
Member with what other clubs?
Were you a previous member of CMPC?  Yes  No
Do you now own a MIN PIN?  Yes  No
How many litters do you breed a year?
   
I HEREBY AGREE TO ABIDE BY THE CONSTITUTION AND BY LAWS OF THE CANADIAN MINIATURE PINSCHER CLUB, IT'S CODE OF ETHICS AND BY THE MAJORITY VOTE OF THE MEMBERSHIP WITHIN THE BOUNDS OF SAID CONSTITUTION AND BY LAWS AS IT SEES FIT.
  Check If You Agree

   
(Signature) (Date)
* Insert email address for On-line application  

Make cheque or money order payable to: Canadian Miniature Pinscher Club.

Submit application to:

CMPC Secretary, Janice Herbert
Box 7, Site 1, RR # 3,
Rocky Mountain House, Alta.
Canada. T4T 2A3
   
FOR OFFICE USE ONLY  
RESIDENT - $25.00 _____ FAMILY NON-RES - $35.00 _____ 
SINGLE NON-RES. - $30.00 _____  JUNIOR (<18) - $10.00 _____
APPLICATION RECEIVED: __________________________
APPLICATION RATIFIED:___________________________
   
         Form Mail by FormToEmail.com