MEMBERSHIP APPLICATION
Yes! I would like to Join the CBCA

I understand my membership gives me:

[ ] 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

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 $ 20.00,) to our treasurer:
Werner Reitboeck , Box 424, Winchester, ON, K0C 2K0; 613 448 3817 Fax 613 448 3265, e-mail secretary@canadianbordercollies.org