Request of Membership
Dear Visitor, thank you for being interested to become a member. The economic times are tense. We get to feel this very clearly. So clearly, that we have reasons to fear that soon we might not be able to help the dogs that we have, much less to take in new ones. Our organization is exclusively financed by people who want to help the dogs. The donation can be deducted from taxes. We would be very happy if you would join us. The finances of our organization are made transparent by making the financial report public each year. The christmas edition of our newsletter, which we will send you, has a collector´s value to many of our members. Maybe you would like to help us advertise? Do you have relatives and friends you would like to tell about us. Please do! We appreziate all the help we can get! your Staffordshire-Hilfe e.V.
|
I herewith request membership in the organization
Staffordshire-Hilfe e. V.
| ______________________________________ | _______________________________________ |
| Name | first name |
| ______________________________________ | |
| street | |
| ______________________________________ | _______________________________________ |
| Zip code/city | Country |
| _____________________ | _______________________________________ |
| maidenname | profession |
| ______________________________________ | ______________________________________ |
| Telephone | Fax |
| eMail-adress: ______________________________________ | |
| II have _____ Dog(s) _____ Male(s) _____ Female(s) | |
| of the race__________________________________ | |
| I am _____ Owner / _____ Breeder / _____ Admirer of Dogs | |
| I am member in an organization of animal sheltering or other organization: | |
| ______________________________________ | |
| The annual fee is minimum € 60,00. When joining during the year, for the remaining months minimum € 5,00. Reduced fee see Club rules § 8.4. The reduced fee is 50 % (proof neccessary). Membership documents will be sent following the first payment | |
| I declare that none of the points in § 7 (1 - 4) applies to me. | |
| II need a tax certificate: | yes / no(please mark) |
| my fee will____________ € | |
| ______________________________________ | ______________________________________ |
| date | signature |
| |
|
Information for the revers of the membership ID card. This card can be used as emergency pass. You can name the organization to be notified in case of emergency.
Name of member:________________________________________________
Notify in case of emergency:__________________________________________
Tel.: ______________________________________________________________
Race of dog : ___________________________________________________
Name: _____________________________________________________________
Age or date of birth:______________________________________________
Chip Nr. or Tattoo Nr. ________________________________________________
Special remarks: _____________________________________________________
Under special remarks please tell us if the dog needs medication, which,
dosis, sequence. How the dog gets along with other animals, etc.
Please print and send by mail to:
Staffordshire-Hilfe e. V.
Postfach 41 06 48
12116 Berlin
or by FAX to (030) 7 96 13 07
For printing, you may download this form as a Word-Dokument herunterladen
(3 KB)
Bank:
Staffordshire-Hilfe e. V.
Postbank Berlin, BLZ 100 100 10, Account: 498 367 102
