Cairn Terrier Club of Canada
Membership Renewal Form
NOTE: Memberships are due by Jan.1 and will be considered overdue if not paid by March 31.
Name(s):
*
Address:
*
City, Prov.:
*
Postal Code:
*
Phone Number:
*
Email Address:
*
CKC Membership No.:
If applicable
This section if for Breeders Only
Kennel Name:
Tattoo Combination:
if applicable
Do you want to be on the Breeder's List?
Yes
No
Info only
Website Address:
Membership Fees
Membership Type
*
Please Select
Single Associate $35
Joint Associate $45
Single Voting $35
Joint Voting $45
Life $0
If applying to upgrade to voting member, please provide Sponsor's name and email address
Sponsor's Name:
E-mail Address:
Sponsor's Name
E-mail Address:
Donations
Trophy Fund
Please Select
National
B.C. Region
Prairie Region
Ontario Region
Quebec Region
Maritimes
Amount:
Rescue:
Please Select
B.C. Region
Prairie Region
Ontario Region
Quebec Region
Maritime Region
Amount:
Yearbook Fund
Best Little Pal Fund
Health Research Fund
Versatility Fund
General Fund
Donations Total
Payment Total
Total
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