Invoicing - Unpaid - Tulsa Dog Training Club

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TDTC
C/O Pam Gennardo
Membership Chairperson
11883 N 158th E Ave
Collinsville, OK 74021

2025
Membership Renewal

Amount Due:
$50.00

Payable upon receipt.

Invoice Date: 03/15/2025

Account Type: Emeritus

Personal and Family Information

Contact Information
Address
517 Follow Through Dr.
Yakima, WA 98901
Email Address:
emmapmolly@gmail.com
Phone Numbers
Cell: (509) 941-3022
Home: (509) 823-4784

Family Members

Dog Information
Skye - Standard Poodle
Poppy - Standard Poodle

Renewal Information

Renew my membership AS IS, Corrected information below.
Change my account to a FAMILY account.
Change my account to an INDIVIDUAL account.
Drop the indicated member(s) from my Family account.
Change the primary account to the indicated family member.
Individual Dues: $50.00 and Family Dues: $75.00

Willing to help

Work at Obedience Trials Work at Agility Trials Learn to teach Puppy Classes Learn to teach Obedience Classes Learn to teach Agility Classes Help with Ways & Means Help on Telephone Committee Help in Leads and Collars Help with Publicity Volunteer with Paw Pals Assist with building maintenance Assist with equipment maintenance
Other: ____________

Payment Information

Please indicate the method of payment as shown below and include your check, money order, or case; or supply your credit card information. Please make all checks and money orders payable to: Tulsa Dog Training Club.

Card Number

Security Code

Expiration Date

Signature

Amount Enclosed

Check/Money Order Number

Cash Check Money Order Credit Card

Jill Perry
517 Follow Through Dr.
Yakima, WA 98901