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Lone Star English Setter Club
Membership Form
I hereby submit my application for membership in the Lone Star English Setter Club and enclose dues in accordance with the LSESC Constitution and By-Laws.

I hereby acknowledge that I have read the LSESC Constitution, By-Laws, Code of Ethics, and the Rules of the American Kennel Club.
I agree to abide by these rules I disagree

For membership consideration please fill out all of the information below
Salutation
Name:
Address:
City: State: Zip Code:
Home Work
Phone:
E-mail:
Applicant's Signature: ____________________________________________________ Date _________

Check which membership category you are applying for:
Individual$10.00Household$15.00

Member Name:
Member Signature: ____________________________________________________ Date _________
Member Name:
Member Signature: ____________________________________________________ Date _________

Please make sure you sign and date the membership application form.
Membership application forms sent without all signatures cannot be processed and will be returned.
Print this application & send it along with your "check" to:

Lone Star English Setter Club
c/o Membership Secretary
1450 Cheyenne Rd,
Lewisville, TX 75077

* All Membership Applications will be read in to the club minutes at the next scheduled LSESC meeting.
LSESC members attending the meeting after the reading in, will vote on your membership consideration.
LSESC Treasurer will securely hold your check until you have been voted in as a member.
If you are not voted in your check will be returned. The membership process takes several months.

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