PATTERDALE TERRIER CLUB OF AMERICA
Rt 2 Box 633
108 Olde Towne Rd
Paradise, Texas 76073
MEMBERSHIP APPLICATION
Dues: $15.00 Single $20.00 Family
Dues Outside US: Twenty Dollars
Date:__________________________________________________________________________
Name:_________________________________________________________________________
Address:______________________________________City:_______________State:_________
Zip Code:_______________________Telephone:(________)_______________
E-mail address:_____________________________
Kennel Name:_________________________________________________
Patterdale Terriers owned:________________Males:______Females:______
The working/hunting of Patterdales is extremely important, this line must be answered in the affirmative in order to be accepted into the PTCA. Do You agree? Yes:____ No:____
The quarry my terriers work is: Groundhogs ___ Raccoons ___ Opposum ___ Rats___ Badger___RedFox___GreyFox___Other:____________________________
Do you wish to register any Patterdale Terriers with the PTCA? Yes ____ No ____
If other Patterdale Terrier owners wish to work/hunt, may they contact you? Yes ___ No ___
Do you wish to have your telephone number released to interested parties? Yes___No___
Would you be able/willing to foster or adopt a Patterdale in need? Yes____ No____
Print page 1 of 2 fill it out and mail it in with the proper fees.
to get information about Bob Burns' book "Foxes yet unseen......"
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