MEMBERSHIP APPLICATION              INDIVIDUAL MEMBER
I hereby confirm my interest in an individual membership in the European Federation of Shar pei Clubs.
Please, fill in this form.
Email *
Surname and Name: *
Phone: *
Full address for post contact: *
Country: *
Breeder
Name of the kennel, If applicable:
How many years you are owner of the kennel?  Be accurate as much as possible -  year only
Owner
Clear selection
How long time you are owner? Please, writre aprox year. Be accurate as much as possible.
If you are not owner or breeder, please write a reason of interest to be our member:
 Are you member of the Shar pei club in other country? If yes, please write where:
Please, write 2 names of EFSPC members, who can give a feedback of you. Name and contact:   *
Year member FEE for individuals is 40€. Mark a date when you paid into EFSPC bank account: *
MM
/
DD
/
YYYY
By sending this membership application form I confirm that I have read, understood and agree with the Statute and regulation of EFSPC, Ethical codex and regulation of FCI. You confirm all information here are correct and you agree with using your personal information in the manner and for the purposes of the EFSPC for registration of members, club statistics, contacting via e mail post in case a club interest. In case of any changes, please up date information as soon as possible. *
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy