Lone Star State Pit Bull Club
Membership Application



Our Clubs Mission:


You need not own a registered APBT to join.
We welcome anyone who has the breed's best interest at heart.


Benefits of Membership:



Join Us:



Lone Star State Pit Bull Club
601-2 Harwood Rd. #167
Bedford, TX 76021



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First Name:

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Last Name:

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Address:

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City :

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State:                                             Zip:

(___________) ________________-___________________________
Day Phone:

(___________) ________________-___________________________
Eve. Phone:

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E-mail:

_________________ / __________________ / __________________
Birthday:

_________________ / __________________ / __________________
Spouse's Birthday:

Yearly Membership Dues: $25.00
Includes a 1-year membership to the Endangered Breeds Association (EBA).

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Applicant's Signature:                                              Date:

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Spouse's Signature:                                                  Date:






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