Membership Application

Armenian Gampr Club of Canada Membership Application
Instructions Please read and complete this form in its entirety. This form can be submitted electronically.
Name:*

First NameLast Name
Phone Number:*

Area CodePhone Number
E-mail Address:
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Categories of Membership*

New Member (Canadian Resident)New Member (Non-resident)Renewal (Canadian Resident)Renewal (Non-resident)
If a member of the AGCC in the past, please provide your previous Membership #
Membership #
This application is for the calendar year May 1 to April 30
Year
Current Ownership (if you do not currently own a Gampr, please leave this section blank)
List all owned/co-owned Gamprs including registration #s from any relevant registration body:
If not registered, please fill out a REGISTRATION FORM (registration included in membership, no additional fee required)
I, the undersigned, certify that I have read, understand and agree to the AGCC Code of Ethics and Conditions of Membership.*

Yes
Signature*

Clear
Membership Fee

prevnext( X )
CADAnnual Membership Fee

loading smart payment buttons...

The payment is ready! It will be completed once you submit the form.
Should be Empty:

Armenian Gampr Club of Canada Membership Application