Membership  Application  Code of Ethics  Sponsor's Forms  Membership Kit  Junior Membership  Membership Reapplication Last update - 2/22/07 Content Provider:      Michael Cerone Copyright © 2000 STCA

STCA MEMBERSHIP REAPPLICATION FORM (PDF Version: 178KB / 1 page) THE STCA WELCOMES YOUR INTEREST IN RETURNING AS A MEMBER(S). If your membership lapsed at the last membership dues cycle (dues payable each year by January 1st), please execute this form. If your membership lapse exceeds two or more dues cycles, please use a New Member Application. For further details, please see STCA Website.   SCOTTISH TERRIER CLUB OF AMERICA MEMBERSHIP REAPPLICATION APPLICANT'S NAME: _________________________________________ ADDRESS: ___________________________________________________ ____________________________________________________________ Telephone: ___________ Fax: ___________ E-Mail: ___________________ YEAR OF LAST DUES PAYMENT: _______________________________ YOUR INVOLVEMENT IN SCOTTISH TERRIERS: __________________ _____________________________________________________________ _____________________________________________________________ SPONSORS: It is necessary to have two (2) Sponsors       1. Name: ___________________________________________________           Address: _________________________________________________           Telephone: ________________ E-Mail: _________________________       2. Name: ___________________________________________________           Address: _________________________________________________           Telephone: ________________ E-Mail: _________________________ Please initial the following two statements: ___________ I/We are enclosing a signed STCA Code of Ethics. ___________ I/We are enclosing payment of dues for this year. _____________________________ _______________________________ Signature                                 Date      Signature                                 Date (Do not write in this space) Date application received: ____/____/________ Amount of check $_________ Sponsors Approved (1) ______ (2) ______ Code of Ethics signed ______ Date of Acknowledgment ____/____/________ Board Action ______ Membership Date ____/____/________ Back to Membership      Back to Who Are WE?