New Member Application (Online) — Mudi Club Of America

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Kennel Name (if applicable)

Website (if applicable)

http://

Are you a Junior (under the age of 18)?

Yes

If Yes, Date of Birth

For Junior Member (under 18 years of age) Only

Please provide parent or guardian contact information

Please check the membership category you are applying for:

US Resident ($10.00)

Non-US Resident ($0.00) (Non-voting membership)

Junior - under 18 years of age ($0.00) (Non-voting membership)

Paying dues by:

Check - Payment made out to MCA. Mail to: MCA, PO Box 366 Pendelton, OR 97801

PayPal - You will receive an invoice by email

None - Junior (under 18 yrs) or Foreign Membership

Please tell us about your interest and/or experience with Mudis.

Please tell us about your experience with other dog breeds.

What activities are you currently, or would you like to be, involved in (e.g., agility, conformation, FCAT, obedience, etc.).

I am interested in helping the MCA in the following way(s):

MCA Region Ambassador/Representative

Mudi Matters e-Newsletter Committee

Judges / Public Education Committee

Mudi National Specialty Committee

US Mudi / MCA Historian Committee

MCA Board Member / Office Holder

Other (Please describe below)

Committee Interests, Skills or Areas of Experience

SPONSORS: Please provide the names and email addresses of two (2) sponsors who are regular MCA members in good standing of the Mudi Club of America:

Member Name 1

First Name

Last Name

Member 1 Email:

How long have you known this sponsor and in what context?

Member 2 Name:

First Name

Last Name

Member 2 Email:

How long have you known this sponsor and in what context?

Email Authorization Option

The Mudi Club of America (MCA) has adopted email communication, unless otherwise defined in the C&BLs, as the method of notification for club meetings and other club notices or business which may include, but are not limited to, dues notices or reminders, judge selection, minutes, newsletters and surveys. This is to comply with AKC Club Relations Policy: https://images.akc.org/pdf/clubs/club_policies/ALL_CLUB_EMAIL_NOTIFICATION_Policy-Jan_2006.pdf Members who sign this MCA Membership Application Form are agreeing to activate email communication, or may choose not to receive any notifications. Such authorization is revocable. The Club is released from any liability should notifications be received late or not received by a member or board member due to circumstances beyond the Club's control. The returned forms will be maintained on file both as a hard copy and electronically. If there is a change in status, email address or mailing address please advise the Corresponding Secretary of such changes. Mudi Club of America, New Member Agreement: The below signed applicant agrees to abide by the MCA Constitution and Bylaws (found under Club Info) and the rules of the AKC to the best of their ability, to act in the best interest of the Mudi breed, and to aid others in honoring the contents of these documents.

By typing your name, you are providing your electronic signature to this application:

Date of Application:

Thank you for applying for membership into the Mudi Club of America.

Please note that it may take at least 90 days before your new MCA Membership Application is processed and you receive a notice of welcome. Applications will receive 2 readings during the monthly MCA Board Meetings; a reading at the 1st meeting after receipt of your application and the 2nd the following month. Sometimes there is a delay in this process when Board Meetings are rescheduled.

Thank you for your patience and for your interest in the Mudi Club of America.

Individual Membership Application

Membership Period: January 1, 2025 to December 31, 2025

Thank you for your patience and for your interest in the Mudi Club of America.

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