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From: Name
___________________________________________
Address _______________________________________________
_______________________________________________________
Phone/Fax/Email_________________________________________
I hereby apply
for reinstatement as an amateur handler. I have not received,
either directly or indirectly, compensation for training or
handling dogs for a period of three years.
Last date
as a professional/comments about history as professional ______________________________________________________
______________________________________________________
______________________________________________________
Date _______________
Signature ___________________________
Attested by
: 1. Name _____________________________________
Address ________________________________________________
Phone/Fax/Email_________________________________________
2. Name _______________________________________________
Address ________________________________________________
Phone/Fax/Email_________________________________________
Regional Trustee
Approval: Date ______________ Region _______
Below this
line for Office Use only
__________________________________________________________________
______I vote
for reinstatement of above applicant
______I vote
against reinstatement for above applicant
Date: _____________Signature____________________________________
Please
print out this application and mail to:
Mrs.
Linda Hunt, Secretary - Treasurer
1300 Tripp Road
Somerville, TN 38068
Phone: 901-465-1556
Mobile: 901-484-5148
Fax: 901-465-0427
Email
us
aftca@aol.com
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