ONLINE MEMBERSHIP APPLICATION 
 
January - December
2022

If you wish to fill out a physical form and mail in your application, you can download the form HERE.

Application Type
Membership Term
Please select which membership you are applying for
Membership Type

Membership Fee

$30

MEMBER(S) INFORMATION

Primary Member

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Household Member

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State/Province

Zip/Postal Code

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Phone Type
Phone Type
Information Sharing Preference

AKKCOA publishes a members directory on the website's members only section so that you can connect with other members.  I do NOT wish to have the following listed on the AKKCOA members website: 

What is your involvement with Alaskan Klee Kai?
(check all that apply)
Do you have experience or interest in Companion/Performance Events? (check all that apply)
Do you have dog show/event experience?
Do you have AKC dog show/event experience?
Do you own any Alaskan Klee Kai?
Do you own any other dog breeds?
Are you in good standing with the American Kennel Club?
Have you ever been suspended, expelled, or had your application denied by AKC/UKC or another dog club?
Have you ever supplied dogs for resale or imported dogs for resale?
VOLUNTEER OPPORTUNITIES / INTERESTS

AKKCOA is a nonprofit volunteer run club.  Would you be willing to serve the club in some capacity?   If so, what areas are of interest to you? 

AKKCOA SPONSORS

The applicant(s) must be endorsed by two (2) AKKCOA members in good standing, not of the same household or the same immedicate family as the applicant or each other.  Applicants who are unknown to Club members may contact the Board of Directors or Membership Director for recommended endorsements.

Sponsor 1

Sponsor 2

AKKCOA Member(s) Agreement - ALL APPLICANTS MUST READ AND SIGN

Your typed name below acts the same as your signed signature and indicates agreement with the above AKKCOA Member(s) Agreement.

Co-applicant Typed Signature

Payment - Dues payment for the current application calendar year must accompany this signed application to be considered.  Please do not send cash.

Membership Fee

$

Optional Donation

$

Total Payment

$

 Payable in US funds only. 

You will be redirected to PayPal upon submitting your application.

Please send check or money order (payable to AKKCOA) to Membership Director: Terry Wright, P.O. Box 122, Willow, Alaska 99688

Thank you for your interest and supporting AKKCOA and the Alaskan Klee Kai.

You will be notified once we have reviewed and processed your application.

For any questions, please email akkcoa@gmail.com