EmailMe Form - AMCC NEW Member Application

AMCC NEW Member Application
If you are interested in joining the Alaskan Malamute Club of Canada (AMCC), please fill in and submit the following form. Someone will contact you by Email or telephone within one or two days of your submission.

Make cheques or money orders payable to:
ALASKAN MALAMUTE CLUB OF CANADA

AMCC Application Year *

Name *

Additional Applicants, same household

Other Club Affiliations (i.e. CKC, AMCA, WAMM, All-breed Dog Clubs - leave blank if none)

AMCC Membership Type and Costs - a cheque MUST be mailed into AMCC for the amount. We will contact you and verify once we recieve your electronic form.

$10 - Initiation Fee (MUST be selected)

$20 - Primary Member whether Canadian or International (MUST be selected)

$15 - Primary Postage (MUST be selected by ALL)

$15 - Int Postage Surcharge (MUST be selected if foreign)

$5 - Additional Applicant (same household)

$10 - Breeder Option (Kennel Listing)

Total Amount to be mailed to AMCC: *

We will contact you prior to you mailing out the cheque to verify the amounts are correct.

Address *

Street Address
Address Line 2
City	State / Province / Region
Postal / Zip Code	Country

Email *

Website

Primary Phone Number *

Cell Phone Number

Fax Number

Kennel Name

Tattoo (if used)

Kennel Listing (additional cost)

Breeder Options
If Kennel Listing is selected, please select one or more from the following list.

Puppies

Boarding

Grooming

Adults

Handling

Stud Service

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