Application Form

ABYSSINIAN CAT CLUB OF AMERICA

APPLICATION FOR MEMBERSHIP

Please complete this form, sign the Code of Ethics and return with your dues (payable to the "Abyssinian Cat Club of America") to:
Harford Gillaspie (ACCA Secretary and Scorer), 23700 Stagecoach Road, Volcano, CA 95689 USA

FEES: (Please check one)
U.S. Bulk Mail	No longer available
U.S. First Class	[ ] One Year $32.00	[ ] Two Years $62.00
Canada & Mexico (Surface)	[ ] One Year $30.00	[ ] Two Years $58.00
Canada & Mexico (Air Mail)	[ ] One Year $39.00	[ ] Two Years $76.00
Japan (Air Mail)	[ ] OneYear $45.00	[ ] Two Years $88.00
Other Foreign (Air Mail)	[ ] One Year $40.00	[ ] Two Years $78.00
Associate Member	[ ] One Year $32.00	[ ] Two Years $62.00
Returned Check Fee	[ ] Each Occurrence $15.00

Note 1	ACCA memberships run from May of one year thru April of the next; anyone joining after January 1st of any year needs to decide if they want backdating for their membership or not.
Note 2:	OUTSIDE THE U.S.: Please remit in U.S. funds drawn on a U.S. Bank, money order or bank check. Associate members receive no voting rights and do not need to sign the code of ethics.

ACCA renewals are due on May 1st of each year for all members.

Name of Sponsoring Member (if applicable): . . . . . . . . . . . . . . . . . . . .

Your Name(s): . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Cattery Name: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Street Address: . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
City : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
State/Prov. : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Zip/Post. Code: . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Phone: . . . . . . . . . . . . . . . . . . . . . . . . Fax: . . . . . . . . . . . . . . . . . . . E-mail: . . . . . . . . . . . . . . . . . . . . . . . . . . .

Registered in the following Associations:

For how long have you been breeding/showing/owning an Abyssinian cat(s): . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

How many Abyssinian cats/kittens do you currently own: . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Name of Cat(s) & Registration Number(s)

From whom or where did you purchase your Abyssinian cat(s): . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

I wish to become a member of the Abyssinian Cat Club of America. I have purebred, registered stock and agree to abide by the Constitution By-Laws, and Code of Ethics of ACCA, and have enclosed my initial dues with this application.

Signature. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Date . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

When your application has been processed and accepted, you will receive the Constitution, By-Laws and Newsletter. Please include the correct amount with your application. Thanks for joining!

Revised Internet Application(5) 05/2004 (MSS)