Renew your Membership Today! By Michele Foley | February 1, 2026 Membership Renewal Form Membership Renewal Form for Welsh Terrier Club of Northern Illinois "*" indicates required fields Membership* Individual Household Junior Date of Birth AgeThis field is hidden when viewing the formType of Membership Regular Member Associate Member Foreign Member Outreach Member Contact InformationPlease review your contact information and make changes, as needed.Name* First Last This field is hidden when viewing the formFull NamePreferred Phone Number*Email* Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzechiaDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussian FederationRwandaSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTürkiyeTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Kennel NameKennel Website Has your information changed in the last year?*Check yes if you updated your contact information. No Yes Additional InformationWhich AKC events have you (or anyone in your household) ever participated in or have experience with?* Agility Barn Hunt Conformation Dock Diving Earth Dog Farm Dog Fast CAT Lure Coursing Nose Work Obedience Rally Trick Dog Member Birthday:Month & DayHousehold Member 2 Birthday:Month & DayDo you have any comments or suggestions for the club?AgreementDo you agree to abide by the constitution, bylaws and rules of the American Kennel Club and the Welsh Terrier Club of Northern Illinois?*Link to documents can be found on the website.YesNoMember 2: Do you agree to abide by the constitution, bylaws and rules of the American Kennel Club and the Welsh Terrier Club of Northern Illinois?*Link to documents on the website.YesNoPayment SectionWould you like to add a donation?*Add amount below or type "0" for no donation. Contribution for (optional)? General Club Operations Event / Match Hospitality Trophy Fund Other Choose payment MethodPayPal allows credit card payments. A $1.50 Charge is added to cover processing. Paypal Check Paypal CheckoutTotal Mail check payable to Welsh Terrier Club of Northern Illinois and mail to Michele Foley 1388 W. Timber Trail Dr. Whitehall, MI 49461 This field is hidden when viewing the form2024 Paid Posted in Uncategorized
