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 Post Title PhoneEmail OccupationPlease List All Bernese Mountain Dogs Currently OwnedName* DOB* DD slash MM slash YYYY Sex* AKC No.* Breeder* Sire* Dam* Name* DOB* DD slash MM slash YYYY Sex* AKC No.* Breeder* Sire* Dam* (use back side if needed for additional dogs)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 2023With 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 DD slash MM slash YYYY Signed Date DD slash MM 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 Post BodyPost Excerpt Date MM slash DD slash YYYY Time Hours : Minutes AM PM AM/PM NameThis field is for validation purposes and should be left unchanged.
