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Those who wish to apply for membership in the Alaskan Malamute Club of America, Inc. (AMCA)
are invited to request a Membership Application Package subject to the terms and conditions stated
below, by completing and mailing this form to:
Leneia Rogowski 640 E 50 N Hyrum, UT 84319 (435) 245-3634
This form must be completed by each person interested in seeking membership in AMCA.
Incomplete forms will be disregarded. Upon receipt of your Request for Application for
Membership form, a Membership Application Package will be sent to you. Your Membership
Application Package will include an application for membership, the clubs Constitution, By-Laws
and Code of Ethics.
Please PRINT or TYPE the following information.
| Name |
_______________________________ |
| Email Address: |
_______________________________ |
| Complete Mailing Address: |
_______________________________ |
| _____________________________________________________ |
STATEMENT
I am interested in applying for membership in the Alaskan Malamute Club of America, Inc., a
voluntary association. I acknowledge the jurisdiction and authority of AMCAs Board of Directors
as the body designated to manage the affairs of AMCA.
In consideration for being provided with AMCAs Membership Application Package and for the
processing of my Application for Membership, should I choose to apply, I hereby agree that if I,
alone or with others, bring any type of administrative or judicial action against AMCA, its Officers
and Board of Directors, jointly or severally, in any manner relating to or regarding the processing,
approval, denial or rejection of my application for membership and if I prove unsuccessful upon the
merits of my claim, I shall pay all cost and expenses, including attorneys fees, incurred by AMCA,
its Officers and Board of Directors, or any of them, in defense of or in response to that action.
Signature ________________________________
Date ____________________________________
Effective April 16, 1996 Revised October 21, 2002
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