Membership Renewal

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					                              Membership Renewal

Name:……………………………………………………………… ……………………………

Address:…………………………………………………………………………………………

City/Prov-State:……………………………………………………………………………….

Postal Code/Zip……………………………..Phone:………………………………………

Webpage:………………………………………………………………………………………….

Email: ……………………………………………………………………………………………..


     Please renew my membership for 2012 ($25.00)

     Please renew or add my listing on Breeders/ Trainers page ($ 10.00)
             I breed border collies
             I work stock with my border collies
             I train border collies for stockwork
              (mark all that are applicable)
              (In order to be listed on the breeders/trainers page members agree that they will
              register their litters with CBCA)

     Please renew/ add my listing to stud page ($ 30.00, new listing $ 40.00). I
       include picture and text on separate sheet (or back of this sheet, or via
       email to registrar@canadianbordercollies.org).

I agree with the goals of the association and agree to follow the bylaws of CBCA
and the regulations of the Animal Pedigree Act. I will adhere to the Code of
Ethics. I do not show Border Collies in Conformation


Date:……………………………. Signature:……………………………………………
                                     (please do not forget cheque)




Send renewal to (cheques made out to Canadian Border Collie Association) Tara Dier,
Box 817, Stirling, ON, K0K 3E0

				
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