Membership Application

Membership is open to fanciers who have a sincere interest in the California Central Valley Maltese Club (CCVMC) and the Maltese breed in general.  Applicants must be in good standing with the American Kennel Club (AKC) and abide to AKC rules and show good sportsmanship.  Applicants must endorse the objectives of CCVMC and abide by our Constitution and Bylaws.  Membership with CCVMC is a privilege, so it is important that you understand your commitment to participate and support the organization.

Name: _______________________________________________________________________

Address: _____________________________________________________________________

City, State, Zip code: __________________________________________________________

Email Address:________________________________________________________________


Kennel Name:_________________________________________________________________


Membership to CCVMC requires two sponsors by club members in good standing:

1)_____________________________        2)______________________________

Are you a breeder_______ Fancier_______ Judge_______ Rescue_______ 

Exhibitor_______ Conformation_______ Companion/Performance_______

Number of years you have owned Maltese_____

How many do you currently own_____ 

If you are a breeder, how many litters do you produce per year_____

Are you a member of other dog clubs_______ If so, lists the clubs and what office 

you may have held __________________________________________________

Have you ever been under suspension or expelled by the AKC or any other dog club_______

Membership Dues must be included with your application.  Dues are $15.00 per year, make checks payable to California Central Valley Maltese Club.  You must attend a meeting before your application can be accepted.  The CCVMC members will vote on your membership by secret ballot and affirmative votes of 2/3 of the members present are required to approve your membership.

By signing below, each applicant certifies the following: All statements contained in this application are true and correct.  Any falsification of information may cause denial of membership.  I understand the members of CCVMC have the right of fair comment on my application.  If not accepted for membership my money will be refunded promptly. 

Signature:____________________________ Date:____________________