Sunshine States Bullmastiff Club
Application For Membership


Date _________________

I/We agree to abide by the Constitution and By-laws of the Sunshine States Bullmastiff Club and the rules of the American Kennel Club.


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Name (please print) Signature

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Name (please print) Signature

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Address City/State/Zip

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Home Phone (with area code) Occupation

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E-mail Occupation

How Many Bullmastiffs Do You Own? _______ Co-Own?__________
Do You Exhibit? Conformation _____Obedience_______Agility_______ Do You Breed? _______


Regular Membership - $25 ___________ Gift Membership (for new puppy purchaser) $10 each_____
Household Membership s- $30________ Half year memberships (Oct 1st – Mar 31st) - $12.50______
Junior Membership - $10_____________ TOTAL ENCLOSED________________________________


All checks or money orders should be made payable to the SUNSHINE STATES BULLMASTIFF CLUB. Send to :
Valerie  Vessey 
26160 Lambeth Road..
.Brooksville Florida  34601
Payment may also be made using PayPal. Address to send payment to is: SunshineStates@gmail.com.

We need you! Areas in the club where you would like to volunteer:
Match/Show setup________ Trophy committee__________ Fund Raising____________
Education/Newsletter_________ Hospitality _____________ Other _________________