Southwestern Neo Club Membership Application

Please note that everything you print on this form (except sponsors' names) will appear on the Electronic Membership Roster for all to see... good people as well as bad people. If you don't want the world to know something, don't print it on this application.

PRINT OUT THIS FORM, FILL OUT NEATLY WHAT YOU WANT LISTED, THEN SEND IT WITH A CHECK FOR $20.00
(MADE PAYABLE TO THE SNC) TO:

SOUTHWESTERN NEO CLUB
3230 WARING CT. #C
OCEANSIDE, CA. 92056

NAME (first,middle initial,last):_________________________________________________

ADDRESS:(street)___________________________________________________________

(city)___________________________________(state)__________(zip code)_________

Telepone:_(_____)_______________________ Fax:_(______)_______________________

E-mail______________________________________Cell Phone_(_____)__________________

Sponsor's Names:

  1. ______________________________________________________
  2. ______________________________________________________

Are you a breeder?_______ Number of Neapolitan Mastiffs owned by you _____
Do you wish to show your dog?___________

Do you wish to work for the club? _________
In what capacity?_______________________________________________________________

Which registry do you use for your dog(s)?___________________________________________

Additional comments:_________________________________________________________

Your Signature_____________________________________________Date_______________