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To join the Western Irish Setter Club, please print and fill out the membership application below, copy and paste the application into an email, fill out and email to tgradowski@sbcglobal.net ).  You will be notified upon receipt of the completed application of dues fees. Full memberships will be voted on by the membership at the next quarterly meeting after the applicant completes attendance requirements. Associate memberships will be voted on at the next club meeting after receipt of application and dues.

Name(s) of Applicant (s) ________________________________
Address_______________________________________________
______________________________________________________
Phone _____________________

Email ______________________
Type of Membership: Full ( ) Associate ( )
A full member must attend two (2) meetings prior to submitting an application for membership. An associate member has no attendance prerequisite. Associate members may not vote, nor will they be considered in any quorum. Two current members in good standing of the Western Irish Setter Club must sponsor both types of membership. Additionally, a new member (full) must agree to serve on a committee of their choice within their first year of membership. To retain full membership (each year), a member must attend at least two (2) meetings per year, or a combination of 1 meeting attended and participation / service on 1 committee of members choice.

I / We, the undersigned, apply for membership in the Western Irish Setter Club and agree to abide by its Constitution and By—Laws as well as those of the American Kennel Club.
__________________________________ _________
Name Date
__________________________________ _________
Name Date
Dues are payable at the acceptance of membership. Dues are $15 per year for each individual member; and an additional $8. for for each family member. The dues are the same for full and associate membership. Those individuals whose applications are accepted after the July meeting need only remit one-half the annual dues. Those individuals whose applications are accepted after the July meeting are not eligible to vote at the next annual meeting for Officers and Board of Directors of the Western Irish Setter Club.
Attached is $ ___ for dues.
The above applicant is/are being sponsored by: _____________________________________
and __________________________________
Signatures of Sponsors: _________________________________________
Signatures of Sponsors: _________________________________________
My/Our area of interest(s) are: __Conformation ___ Obedience ___ Field ___ Other
Please list your purpose and objectives in joining the Western Irish Setter Club:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

Please list the pertinent information on any Irish Setters currently owned by you:
______________________________________________________________________________
Name / Date of Birth / Breeder
Sire____________________________________ Dam _________________________________
______________________________________________________________________________
Name / Date of Birth / Breeder
Sire____________________________________ Dam _________________________________
______________________________________________________________________________
Name / Date of Birth / Breeder
Sire____________________________________ Dam _________________________________

Board Acceptance ______________________ Membership Acceptance __________________