PTCA Membership Application

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Patterdale Terrier Club of America

CURRENT MEMBER RENEWAL

*If you are a Current  PTCA Member, you may renew on-line at the bottom of this page.

NEW MEMBER APPLICATION:

*New Members, please highlight, print and fill out form. Mail to the address on form. 



 PTCA NEW MEMBER APPLICATION

Dues: $ 20.00

Dues Outside US: $ 25.00 

Date:____________________

Name:_____________________________________________

Address:___________________________________________

City:______________________State:_____Zip Code:_______

Telephone:__________________________________________

E-mail address:_______________________________________

Kennel Name:________________________________________

How many Patterdales do you own?
Females______Males______

Even if you don't hunt/work your terrier, "The working/hunting
of Patterdales is extremely important." This line must be
answered in the affirmative in order to be accepted into the PTCA.
Do you agree Yes_____ No_____

The quarry my terriers hunt: Groundhog___Raccoon___
Badger___Red Fox___Grey Fox___Other_______

If other Patterdale owners wish to work/hunt, may they
contact you? Yes____ No____

Do you wish to have your tel. no. released to interested parties?
Yes____ No____

Would you be able/willing to foster or adopt a Patterdale in need?
Yes____ No____

Print and send completed application along with dues to:

PTCA
108 OLDE TOWNE ROAD
PARADISE, TEXAS
76073

________________________________________________________________

To renew a current U.S. PTCA Membership, click onto the PayPal button below.

 

To renew a current Non-US Membership, click onto PayPal button below.

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