Great Lakes Boxer Club
UKC Licensed Conformation Club #MI-110
Membership Application
There shall be 3 types of membership open to any breeder, owner, or fancier of the breed who
subscribes to the purposes and objectives of the Great Lakes Boxer Club, and agrees to abide by the
Great Lakes Boxer Club Code of Ethics, and who is in good standing with the United Kennel Club.

Single membership - $20.00 Annually
Open to members 18 years of age or older.  Single members are entitled to one vote and are eligible to
hold office in the Great Lakes Boxer Club.

Family/Household membership - $30.00 Annually
Open to any two members of a household 18 years of age or older.  Each Family/Household membership
is entitled to two votes.

Junior membership - $10.00  Annually
Junior membership is open to any individual who is 10 to seventeen years of age.  Juniors may convert to
Single membership upon reaching their 18th birthday.  Junior members shall not be entitled to vote or
eligible to hold office, but shall be eligible for annual trophies or awards offered by or through the Great
Lakes Boxer Club.
Applicant's Name: First, Last
 Co-Applicant's Name (if applicable): First, Last
Street Address:
 City, State, Zip Code:
Contact Phone Number:
 E-mail address:
Web site address (if applicable):
Type of Membership you are applying for:
How many Boxers do you currently own?
Is your Boxer(s) registered with the UKC?
What events do you exhibit/compete in UKC?
Are you willing/able to be an active/supportive member of the Great Lakes Boxer Club?
Do you breed or have a breeding program?
How many litters do you sire a year?
How many litters do you produce a year?
What are your Boxer interests?
Please briefly tell us a little about your
breeding program/beliefs.
What are your intentions in the respect of
the/your Boxer's future?
If your membership application has been approved, you will be notified via E-mail and US Mail.  Once you receive
notification of your approval, you will have 10 days to submit the membership dues payable in US funds to Great Lakes
Boxer Club to the address listed on your conformation letter.

All current members in good standing with the Great Lakes Boxer Club will be added to the Great Lakes Boxer Club's
private e-mail group.  Once you have been added, you may correspond freely with club members.