Type of Membership: (select one of the three below)
-
Household: $50 for 1 Yr. ________; $90 for 2
Yrs. ________
-
Individual: $30 for 1 Yr. ________; $54 for 2
Yrs. ________
-
Sponsor*: $150 for 1 Yr. ________
Other Items to consider:
-
KOI USA Magazine Subscription: $20 for 1 Yr. ______
-
Name Badges**: $5 each. ______
Date: ________________
First Member
name:_______________________________________________________________________
Second Member
name:_____________________________________________________________________
Address:
__________________________________________________________
City: __________________ State: _____________________
Zip: ___________
Best Phone: ____________________ Best Email:
________________________
AKC is a volunteer organization. We need as much help
and support as you can provide. So In which of the following areas can
you help?
Host Meeting ___, Pond Tour ___, Auction ___, Koi Show
___, Hold Office ___,
To save money, we provide our newsletter in color via
email several days earlier than mailed copies. Would you like to
receive your newsletter via email? Yes or No.
We publish a membership roster several times per
year. It is
given only to club members and the Associated Koi Clubs of America (AKCA).
May we include your address, phone number and email? Yes or
No.
Check No.: __________ Check
Amount: ___________
Make checks payable to Atlanta Koi Club and
submit the check with this application to:
Robin Scott
4331 Flippen Trail
Norcross, Ga. 30092
*By applying for sponsorship I affirm
that koi sold by my company are, to the best of my knowledge, free of parasites and pathogens; they
have not been exposed to Koi Herpes Virus (KHV).
** Please consider buying Name Badges. For only
$5, you will get to know and be known by everyone and also receive a free raffle ticket every time you wear your badge to a
Club Meeting.
