Portuguese Podengo Pequenos of America (PPPA)

Initial Membership Application
Complete this application, then click Pay Now to submit + pay dues.

Prefer paper?
Download the membership application.

Click here to download membership application

Applicant Information

Contact Details

Full Name *

Email *

Primary Phone

Alternate Phone

Street Address *

City *

State/Province *

ZIP/Postal Code *

Country

Date of Birth (if applicable)

If applying as Junior membership, DOB is typically required.

Membership Selection

Please check which type of membership:
Individual — $55.00 total ($40.00 + $15.00)
Junior under 18 years of age, non-voting membership — $15.00 total ($0.00 + $15.00)
Family (2 members in same household) — $75.00 total ($60.00 + $15.00)
Foreign non-voting membership — $30.00 total ($15.00 + $15.00)

NOTE: As the process for approving your application for membership can take several months, the PPPA reserves the right to deposit your application’s dues and enrollment fee upon its receipt. However, such deposit does not automatically guarantee the approval of your membership application. If your application is denied, your annual dues will be timely refunded.

Membership Type *

Kennel Name (if any)

Website / Social Link

AKC # (if applicable)

Club Involvement (Optional)

Notes / Anything you’d like the board to know

Two Sponsors are required. If you need assistance in finding sponsors, please contact any officer or board member.

Sponsors

Sponsor #1 Name

Sponsor #1 Contact

Sponsor #2 Name

Sponsor #2 Contact

Electronic Notification Authorization

We are asking prospective members to sign a release electing to receive PPPA correspondence via electronic means. Electing to do this does not include any communications which our Bylaws require to be sent by hard copy. Examples are requests for input, results of ballots, and other items that need to be communicated to the membership in a timely manner.

This authorization will remain in effect until formally withdrawn or modified by you via electronic communication or written correspondence to the PPPA Secretary.

Please authorize electronic communication *

I / We DO authorize issuance of future communications by electronic communication I / We DO NOT authorize issuance of future communications by electronic communication

Certification

I certify that the information provided is true and accurate to the best of my knowledge.

Typing your name below acts as your electronic signature.

Electronic Signature (Type Full Name) *

Date *

Submission: Your application is submitted electronically to PPPA via Netlify Forms.
Then PayPal opens to complete dues payment.
Questions: pppasecretary@gmail.com