PRAIRIE FELINE FANCIERS

Application for Membership:

New Member _____ Membership Renewal_____

Name of Applicant: _____________________________ Date: ______________________

Mailing Address: ________________________________________________________________________

Phone: Home: ________________ Work: _________________ Cell: _____________________

Fax: ______________________ E-mail Address: _______________________________________

If you are a member of the American Cat Fanciers Association (ACFA) please provide us with your

membership # _________________

Please return this form with applicable fees (payable to Prairie Feline Fanciers) to:

Connie McIver

Box 66015, Unicity

Winnipeg, Manitoba

R3K 2E7

Phone: (204) 694-3289

E-mail: cmciver@skyweb.ca

Types of Membership
Membership Fees:
Regular
- $15.00 -
Family (Option 1)
- $25.00 -
Family (Option 2)
- $15.00 plus $5.00 ea. additional family member
Junior
- $10.00 -
Total Enclosed:
Regular members are eligible to vote and hold office.

Option 1 - Family Membership (voting) may be held by an additional person eighteen years of age or over residing at the same address as the Regular member. Purchase a $15.00 Regular membership then add $10.00 for one extra person only. Both Family members have all the privileges of regular club members, including eligibility to vote and hold office.

Option 2 - Family Membership - Any additional family member or members residing at the same address as the Regular member. This membership allows a Single Vote per Family only. Purchase a $15.00 Regular membership then add $5.00 for each additional family member of any age, who would be without voting privileges and is ineligible to hold office. There is no limit on the number of family members that can be added.

Junior members are under 18 yrs. of age and may not hold an elected office or vote.

Prairie Feline Fanciers membership year begins January 1st of each year and ends on December 31st of that year.

Additional Information:

Are you currently involved in breeding cats? ________

How long have you been a breeder? _________

Are you in need of a mentor _____, or are you willing to offer your experience to mentor a new breeder?_________

What breeds are you currently working with? __________________________________

Registered Breed: ________ OR Household Pet: _________

If you have a ACFA registered cattery, please indicate cattery name and # below:

ACFA Cattery Name: ________________________ ACFA Cattery # _____________________

Are you interested in becoming involved in any of the following club activities:

Breeders Ethics: __________ Cat Show support: _________ Advertising______

Fund Raising______ Education_______ Other ________________________________________


Please notify Connie McIver of any change in address or phone number.


Please do not write below this line.

Prairie Feline Fanciers Membership #____________

Membership for the period ending December 31st.

Fees received:

Cash: _______ Cheque: ______ Money order ______

 

Authorized signature: ________________________________