Land Of Enchantment
                                   APBT Club

                                                                                             ADBA American Pit Bull Terrier Club




                                                           Membership Application

_____________________________________________                          _______________________________
Name(s)                                                                              E-mail Address

_________________________________________________________                                      
Mailing Address

____________________                    _____________________                                                      
Telephone Number                                Cell Number

$
_____________                                _____________________                                                      
Amount Paid                                        Date Paid
  
Membership Dues: $35- Individual, $45- Family

This club was formed to promote a better image of the American Pit Bull Terrier . The
club has no paid employees, and all work is done on a volunteer basis.

The club does not conduct, nor will it in any manner condone in any illegal activities
associated with the breed.

The undersigned, if accepted as a member(s) agree to the support of the club as stated
in the Constitution and By-Laws.

_____________________________________________________Signature(s)

Michael Stephenson-President                                
P.O. Box 531  
Glorieta, NM 87535
Bus.: 505-455-7656
Cell: 505-920-2950