Apply for a Club Membership Chattahoochee Valley Bernese Mountain Dog Club Membership Application "*" indicates required fields Please fill out this application completely and hit Submit. You can send your payment through the PayPal link at the top of the page. Regular membership single $30.00 1 vote; household regular membership $35.00 2 votes; Associate membership $25.00 non-voting and non-office holding. Dues are payable annually by Jan 1.Name* Address* Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code PhoneEmail* OccupationPlease List All Bernese Mountain Dogs Currently OwnedName DOB MM slash DD slash YYYY Sex AKC No. Breeder Sire Dam Name DOB MM slash DD slash YYYY Sex AKC No. Breeder Sire Dam I am interested in:Interest Conformation Obedience Carting Tracking Agility Breeding Other Other Please Indicate Your Interests in Volunteering to Support the Club:Untitled Website and Social Media Event Planning Fundraising Breed Education Helping With Rescue (E.g. Reviewing Applications, Interviewing, Foster, Transport) Supporting New Adopters Serving on the Board Liaison With Vet Offices/Other Dog Clubs Other (Please Describe) Other CVBMDC Membership Application January 2025With the view to the betterment of the Bernese Mountain Dog breed, I agree to abide by the rules and regulations of the American Kennel Club and the Constitution and By Laws of the Chattahoochee Valley Bernese Mountain Dog Club (CVBMDC). I confirm that I have read and will abide by the BMDCA Code of Conduct.Signed* Date MM slash DD slash YYYY Signed Date MM slash DD slash YYYY SponsorsTwo (2) CVBMDC Active Members in good standing must endorse all applicants; new memberships are considered pending until sponsors are confirmed. Please indicate the members who will be sponsoring your application for membership. New members should attend events in order to meet others in the Club. Sponsor* Sponsor* PhoneThis field is for validation purposes and should be left unchanged.
