SNEAK

SOUTHERN NEW ENGLAND AGILITY KLUB

MEMBERSHIP RENEWAL

Name(s) ________________________________________________________________

Address ________________________________________________________________

Phone ________________________________________________________________

E-mail ________________________________________________________________

Annual Dues are payable on January 1^st of each year

Single Membership: $25.00 Family Membership: $35.00

Junior Membership: $15.00 (same household)

Associate Membership: $15.00

Dues not paid by January 31^st will be considered lapsed

Date _____________________ Total enclosed $______________________

(Checks payable to SNEAK)

Send to:

Sharon Gayeski

21 Myrtle Rd.

Griswold, CT 06351

860-376-9248

sharong5359@sbcgobal.net