DAKOTA PET BREEDERS MEMBERSHIP APPLICATION 2010

Dakota Pet Breeders welcomes you to apply for membership. It is important to all members that any new people wishing to join are true, honest and ethical. We need to be sure no one is joining to be detrimental to our association and that you are dedicated to the association.

Please send us the following applicable information along with your application and fee.

1. A copy of your USDA license.

(Or)

2. A copy of two litter registrations within the last two years; if you are a breeder.

(Or)

3. If not a breeder, we need 3 referrals unrelated to you and a statement from you why you are joining.
Also what job you hold.

For more information please contact:
Pat Neises – 605-997-2789 neisespuppy@knology.net 
 

*Name:________________________________________________

*Date: _________________________________________________

*Address: ______________________________________________

*City/State/Zip:___________________________________________

*Home Phone:____________________________________________

*Breed/Breeds:___________________________________________

Email:__________________________________________________

Website URL: ____________________________________________

Send the form above, along with your membership fee ($35.00) to:
Pat Neises
702 West 2nd Ave.
Flandreau, South Dakota  57028