ACQ Subscription and ACC Membership Application
                  I wish to subscribe to American Coton Quarterly Magazine
                and receive a free membership to the American Coton Club.

I recognize that by joining the American Coton Club I agree with and support ACC’s positive
and proactive emphasis on health and education, ethical behavior by all members, and doing only what is best for the dogs and the Coton de Tulear breed. My signature for the membership application indicates that I will do all in my power to personally uphold these principles and help to work for the best solution to the issues facing the breed today.

Name_________________________________________________________

Address_________________________________ City_____________ State____ Zip Code__________

Phone Number with Area Code _______________________________________

Email _____________________ Web Site _______________________________

Number of Cotons owned _________ I am a breeder of Cotons ____ yes ______no

I am a breeder of other dog breeds_____ yes ____ no (if yes, what breeds?)

I would like to actively participate in the club and can offer the following services:

Is there anything else you would like us to know?_____________________________

How did you learn about the club and/or the magazine? _________________________

Signature _______________________________ Date_________________________

A subscription to American Coton Quarterly for a full year of four issues is $45 in U.S. and Canada, $65 in Europe.  Donations to help support the activities of the club are also accepted.  ACC is a 501 (c) (3) non profit organization (Federal ID Number 42-1556266).  All donations are fully deductible.  Please help us to support and sustain the breed.
                                              Amount enclosed ___________________ 

Send To:  ACC
              3484 Waverley Street
              Palo Alto, CA  94306