USACTC New Member Application

USACTC New Member Application
Dues payments are for the 2023.

(Although USACTC, Inc. is a 501(c)7 federal tax exempt organization, membership dues are not tax deductible as a charitable donation.)

Your 2 USACTC Member Sponsor Names are required on this Application.

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Membership Categories, USA (Only Regular/Household Memberships include right to vote and hold office.)
Membership Categories, Non US Residents (Does not include right to vote or hold office.)
Name:*

First Name Last Name
Email:*
Address*

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Primary Phone Number:*

Area Code Phone Number
Other Phone Number:

Area Code Phone Number
Household Member Name (only for $55 Household Membership category):

First Name Last Name
Household Member Email:
Skills or Occupation:*

AccountingMarketingGraphic DesignLegalParliamentary ProcedureWriting/EditingWeb DesignITBusiness OwnerFundraisingEvent PlanningNonprofit Board TrainingVeterinaryGeneticsJudge (Conformation)Handler (Conformation)Trainer (Conformation, Performance & Therapy)Other
USACTC Sponsor (current member name required):*

First Name Last Name
USACTC Sponsor (current member name required):*

First Name Last Name
Do you own a Coton?*
I/We participate in the following Coton activities:*

BreedingConformationAgilityTherapyOB/RallyNose WorkServiceRescueFree Style DanceOther
Terms and Conditions:*
E-Signature*

Sign with a mouse or on touch screen Clear
Date:*

MonthDay Year
USACTC, INC. 2023 Membership Dues*
prevnext( X )
Regular Membership (Individual)$40.00

Household Membership (2 residents of same household)$55.00

Sponsored Membership (first-time Coton de Tulear owner sponsored by USACTC breeder)$30.00
A 1 year Introductory (non-voting) membership

Associate Membership (NOT currrent Coton de Tulear owner)$20.00
Non-voting membership

Junior Membership (under 18 years of age)$20.00
Minimum age to apply online is 13 years old

Foreign Membership (Non US Individual Resident)$40.00
Non-voting membership

Foreign Household Membership (Non US Household)$55.00
Non-voting membership

Optional: Add USPS Ballot Mailing Fee (ONLY for voting Regular and Household Memberships)$15.00

Total $0.00
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