Name: ___________________________________________________________________________________ Address: _________________________________________________________________________________ ______________________________________________________Postal
Code: _________________________ Telephone: _________________________
E-Mail: ________________________________________________ Website URL: _____________________________________________________________________________ Kennel Name(if applicable):
___________________________________________________________________
Samoyed(s) owned or co-owned (Name & CKC/AKC reg. # or “rescue”): _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ Membership
Fee (enclose with application): Individual
$15/yr Family
(2) $25/yr Membership
Type:
Regular ___ Associate (outside Ontario) ___ Mail
your completed application and fee to: 3828
Trulls Road If
accepted as a member I agree to abide by the rules of the CKC, and the
Constitution and Bylaws
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