Membership in the organization consists of Family and Individual Members as explained
below, provided they comply with the bylaws, rules, and regulations of the organization.
Please select the type of membership desired.

Come join the fun! Picnics, parades, clinics and other activities.


________  Family ($30 per year) - Open to one adult or two related adults residing
         together, including the children (under 18 years of age) of such adults. 


________  Individual over the age of 18 ($20 per year)



Name:____________________________________________________________

Additional Family
Members: ____________________________________________________

                               ____________________________________________________

                               ____________________________________________________


  Address:_________________________________________________________
  City:  _______________________________   State:___________    Zip Code:___________


Telephone(        ) E-Mail

Date:      /        /

Signature:     ________________________________________

Print Name:   ________________________________________


Please send this completed application along with your membership dues to:

Membership Chairman
Rising Star Rottweiler Rescue
10201 Lantana Rd.
Lake Worth, Fl. 33449



Thank you for joining

Membership Application
OFFICE

Date
Rec'd   ______/______/______

Amt
Paid    ___________________

Check
Number___________________
January 1st thru December 31st, 2010
Definition of Membership
Rising Star Rottweiler Rescue, Inc.
Their heart is the biggest muscle in their body.