New Membership Application


 
First Name:
Last Name:
Address:
City:
Province or State:
Country:
Postal Code/Zip Code:
   
Phone Number:
Fax Number:
   
Email Address:
Choose Username:
 
Choose Password:
Re-type Password:
   
Registered Kennel Name:
Website URL:
(i.e. http://www.kennelname.com)
   
Do you own a Chow? Yes  No
If yes, how many?
   
Do you breed Chows? Yes  No
If yes, how many years?
   
Do you show in conformation? Yes  No
   
Do you show in obedience? Yes  No
   
List any other animal related clubs you belong to:

   
Permission granted to post your information on our public website? Yes  No
   
Annual Membership Fees

January to December (effective January 2008)

   Single ($15.00/year)
 Couple ($20.00/year)
 US Single ($12.50/year) 
 US Couple ($15.00/year)               Junior Non-voting  ($5.00/year)           
   
Terms & Conditions
   

I hereby request membership in the Chow Chow Club of Canada, Inc. (subject to the approval of Executive Members).   I agree that I have not been suspended or expelled by the Canadian Kennel Club (CKC) or any other recognized dog club, and that I am not actively engaged in buying, selling or breeding dogs that are not purebred.
   

I confirm I have read and agree to the membership objects and bylaws.
   
CAPTCHA Image
Reload Image