CBCA Membership Renewal Form

Name

First Name

Last Name

Email

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

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Please renew my membership for the year 2020 (CAD$25/US$22)

Please renew or add my listing on the breeders/trainers pages (free for members)

By entering your name in the box below, you agree to comply with the goals, bylaws and code of ethics of the CBCA, and agree to adhere to the regulations of the Animal Pedigree Act.

Date

MM

DD

YYYY

Electronic payment - pay online through your financial institution. Send to: registrar@canadianbordercollies.org (Tara Reid, Registrar).

Pay by mail - all cheques should be made payable to the CBCA and sent to: Tara Dier, Registrar, PO Box 817, Stirling ON, K0K 3E0.

Printable version of the CBCA Membership Renewal form