ANTA Membership Application
As provided by the Bylaws of the American Norfolk Terrier Association, membership is open to those individuals who are eighteen or older and currently own a Norfolk Terrier. All Norfolk Terrier owners are always welcome at ANTA events, as are subscribers to our newsletter, ANTIC.
Name(s):_______________________________________________________
Address:__________________________City:__________________________
State:____ Zip Code _________ Country _____
Email:_______________________________ Phone(s):___________________
When did you acquire your first Norfolk Terrier?___________ How many do you currently own?____________________
Where did you get your Norfolk(s)? Name of Breeder or other source:_________________________________________________________
______________________________________________________________
Please list the registered names/call names of your dogs: _______________________
______________________________________________________________
Which activities might you want to try with your Norfolk?
___Showing Breed __Earthdog ___Obedience ___Rally ___Lure Coursing ___Tracking ___Agility ___Dock Diving ___Therapy Dog ___Barn Hunt ___ Companion ___Trick Dog ___Scent Work ___Canine Good Citizen
Briefly describe what attracted you to Norfolk Terriers and your interest in the breed:
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
Two current ANTA members are required as sponsors. A sponsor may write his or her note of support on the back of this application or email it to the Membership Chairperson. (linif@comcast.net)
Sponsor 1:__________________________________________ (Please print)
Sponsor 2:__________________________________________(Please print)
In applying for membership, I affirm that I subscribe to the purposes of ANTA and agree to abide by its Constitution and Bylaws.
Signature of Applicant:____________________________________Date:_______________
Submit this application to : Linda Federici, ANTA Membership Secretary, 506 Irving Court, Moorestown, NJ 08057, or email: linif@comcast.net
DO NOT SEND MONEY WITH APPLICATION. Dues are $20.00 single/$25 family per full year (October – September – half that amount for memberships approved after March of each year) for address in the US and Canada and become payable at time of acceptance; for overseas addresses, there is a $5 postal surcharge. Membership includes subscription to ANTIC. Payment must be in US funds and checks must be drawn on US banks.
(Rev.6-18)
