TRADICIONÁLIS SCHNAUZER-PINSCHER KLUB

APPLICATION FOR MEMBERSHIP

PLEASE USE BLOCK LETTERS TO FILL IN THIS FORM! YOUR DATA WILL BE TREATED CONFIDENTIALLY.
Data marked with * are obligatory!
TO BE FILLED IN BY THE APPLICANT!

* Full name:……………………………………………………..………………. I, the undersigned would like to become a member of the

* Date of birth (year/month/day): ………… …………………………………….
* Place of birth: .…………………………………………….……………………
* Mother’s name:..………………………………………………………………..
Tradicionális Schnauzer-Pinscher Klub.
By signing this form I accept its constitution, goals as well as
its regulations. These documents are available on the TSPK
website.

* Permanent address: ..………..…………………………………………………

* Postal address: …….………..…………………………………………………. Date: ……………………… ………………………………..

Telephone number: .…..………..………………………………………………..

E-mail: ..………..…………………………………………………………………
…………………………………………………………..
Kennel name: ………...……………………………………..…………………… Signature of applicant

Breed(s): ……………..………………………………………………….………..

Starting year of MEOESZ membership: ..………………………………………

TO BE FILLED IN BY THE TSPK!

Date of payment of the membership fee: ………..………....…………………….

ACCEPTED
Invoice number / Bank account statement number:………………………..........
NOT ACCEPTED

Date: …………..……………………… ..………………………………………………………..

President