PTCA Membership Application

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Patterdale Terrier Club of America Membership

 patterdaleterrierclubofamerica@gmail.com

CURRENT MEMBER RENEWAL

*If you are a Current  PTCA Member, you may renew on-line at the bottom of this page.  If your Membership has not been current for over a year, please fill out and mail a New Membership Application.

NEW MEMBER APPLICATION:

*New Members, please highlight, print and fill out form. Mail to the address on form. 


 PTCA NEW MEMBER APPLICATION

Dues: $ 20.00

Dues: Outside USA: $ 25.00 USD 

Date:____________________

Name:________________________________________

Address:______________________________________

City:__________________State:_____Zip Code:_______

*Telephone:___________________________________

*E-mail address:___________________________
     Please include your email address......for PTCA use only.

Kennel Name:__________________________________

How many Patterdales do you own?
Females______Males______

Would you be able/willing to foster or adopt a Patterdale in need?
Yes____ No____

Print and send completed application along with dues to:

PTCA
108 OLDE TOWNE ROAD
PARADISE, TEXAS
76073

________________________________________________________________

To renew a current U.S.A. PTCA Membership, click onto the PayPal button below.

 

To renew a current Non-U.S.A. Membership, click onto PayPal button below.