Vantastix Membership Application

Name: __________________________________

Mailing Address: __________________________________

Street: __________________________________ Apt. #__________________

City:______________________ State/Province: _______ Phone: ______________

Postal Code:__________ Country: _______________________

E-Mail Address: _______________________________

Homepage:_______________________________

Registered Cattery Name:_______________________________ CFA: Yes__ NO __

Name of One of Your Turkish Vans: _______________________________

Your Cat's Registration Number:_______________________________

Membership: Anyone interested in Turkish Vans may be an associate member in the club. All new members must apply as associates. After one year, associate members who meet all criteria for regular membership may renew as regular voting members if desired. Both associate and regular members receive the newsletter.

Check one:
New or Associate Members: Individual $15_____ Family Member $5 _____ Total: $ ______
Renewal as Regular Member: Individual $25_____ Family Member $10_____ Total: $ ______
SUBTOTAL: _____
$5 Application Fee: _____ (new applicants)
Donation to Turkish Van Rescue: _______
TOTAL: $ _______

If you are applying as a New Member, please list two (2) references (sponsors) who are Vantastix members or please feel free to attach a short paragraph telling us a bit about yourself:
_________________________________________
_________________________________________

Please indicate below if you would like to serve on any of the following committees.
Membership ___________ Mentorship___________ Newsletter ___________
Breed Publicity___________ Fundraising ___________

Please sign and return this form with your dues (checks to Vantastix Cat Club) to:
Linda A. Gorsuch, PO Box 81, Accokeek MD 20607 USA
You may pay dues via PayPal to: vantastix@gmail.com

Please add $1.50 for PayPal processing fee.

By signing this application I acknowledge that I have read the Vantastix Cat Club Constitution and Bylaws, and I agree to be bound by their provisions.


Signed:_______________________________ Date:______________________
Membership runs through 31 December. Dues for the following year are payable on or before 31 December. Dues will not be prorated. Current members' dues must be paid by the final delinquency date of 1 March to avoid forfeiture of membership rights.

-----> Click here to download a Word version of the application form.