Yes! I would like to Join the CBCA

I understand my membership gives me:

The right to register purebred Border Collies at member rates

The right to vote at the Annual Meeting and to run for Office*

The right to participate in the CBCA Championships

The right to advertise on the CBCA website
 * Non-Canadian residents will receive an associate membership which will not entitle them to vote or run for office.

[ ] I wish my membership to be for this year, and I understand my membership expires on December 31.
[ ] I wish my membership to begin on January 1, next year.(only available after Oct 15 for new memberships)

Name:_____________________________________________

Address __________________________________________________________________________________

Phone # (with area code).............................................  Email......................................................................................

Tattoo Letters ( for breeder identification) e.g. John C. Doe, JCD or JD etc. Click to see tattoo letters already in use (if you use microchips for ID you do not need tattoo letters)

1st choice:_____________________ 2nd choice:_____________________

I agree with the objectives of CBCA especially maintaining the Border Collie as a reliable working dog in Canada I agree abide by the bylaws of the Association and the Animal Pedigree Act. I do not show border collies in conformation events and am aware that doing so would cancel my membership with CBCA.

Date…………………………. Signature……………………………………………….

Membership is subject to approval by the board. Please send this form, with payment (annual membership, $ 25.00 life membership $ 300.00,)
Cheques made out to CBCA and mailed to Tara Dier, Box 817, Stirling, ON, K0K 3E0