Canine Mensa
Your Current Membership
*
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Good Dog Membership
$
10.00
CAD
Smart Dog Membership
$
Free
CAD
Top Dog Membership
$
Free
CAD
Non-Members
$
30.00
CAD
Subtotal
$
0.00
CAD
Tax
$
0.00
CAD
Total
$
0.00
CAD
Full Name
*
First Name
Last Name
Email
*
Dog's Name
*
Breed
Gender
Female
Male
Birth Date
January
February
March
April
May
June
July
August
September
October
November
December
Month
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31
Day
2021
2020
2019
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2015
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1931
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1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
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