ACC Membership Application

I wish to JOIN the American Coton Club $25.00
I wish to RENEW my membership with the American Coton Club $25.00
I wish to renew my COE Breeder listing $100.00

I realize that by joining the American Coton Club I agree with and fully support ACC痴 emphasis on health and education, ethical behavior by all members, and supporting the Coton de Tuléar as a Rare Breed.

Name

Address

City

State

Zip Code

Telephone

E-mail

Website

Registered names of Cotons owned by you:

Registered names of any co-owned Cotons:

Do you show your Coton?

Are you interested in participating in any activities with your Coton? Examples include agility, obedience, scent work, therapy training, freestyle dance and many others. Feel free to explain:

Do you plan to breed your Coton?
Yes
No

I am a breeder of other dog breeds:
Yes
No

I would like to actively participate in the American Coton Club and can offer the following services:
Hospitality
Fundraising
Rescue
Education
Health
Website
Newsletter
Show

Please list present memberships in other dog clubs and offices held, if any:

Please let us know who we may thank for referring you to the American Coton Club:

By sending this application I agree to uphold the constitution and bylaws of the ACC. The membership fee will help in our goal to educate the public and to keep the Coton de Tuléar a Rare Breed.
Thank you for your support!