WMU Member Club Application

WMU Member Club Application
Date the prospective member club was established *

Month Day Year
Date
Club's Name *
As it will appear on the website
Club's Logo
Club's Mailing Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Club's Contact Email *
example@example.com
Club's Website
Club's Phone Number

Area Code Phone Number
Please list 3 Officers and Members' names below.
- The membership and officer roster must include a minimum of three individuals who are current members of WMU (two may be part of a family membership e.g., one individual plus two people in a family membership).
- If your club is applying for full member status, it is helpful to show more than just 3 members to demonstrate preparedness to host an event.
- Officer's may fill two positions.
Member 1 *

First Name Last Name
Member 1 WMU Membership Number *
Member 2 *

First Name Last Name
Member 2 WMU Membership Number *
Member 3 *

First Name Last Name
Member 3 WMU Membership Number *
Please describe the club's experience in hosting events:
Statement of agreement (submitted by a club officers): By inputting my name below, as a member and officer of the above mentioned club, I have read and agree to abide by the constitution, bylaws, and ordinances of Working Molossers United and to use their Member Club Constitution and Bylaws as our own. I shall do my best to uphold its objectives and ideals, and agree to promote and preserve the character and health of the working Cane Corso as set forth by WMU.
Signature *

Clear
Signer's Name *

First Name Last Name
Signer's Email *
example@example.com
Club Membership Application Fee
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Club Membership $ 50.00

Total $ 0.00
Should be Empty: