CBARRC New Membership Application

CBARRC New Membership Application

This form can be used to apply for a new CBARRC membership. Dues are payable annually and membership runs from 1 January to 31 December with dues being paid no later than 31 January. If you apply for a new membership after 1 October, this will include your renewal for the following year.
NOTE: Information that you put into this form is kept private, only used for contact purposes, and not shared outside of the CBARRC board.
Which type of membership are you interested in?*

Junior Membership (FREE): No vote, must be under 18 years of ageIndividual Membership ($25): One person, one voteFamily Membership ($35): Two or more persons, two votesAssociate Membership ($20): One person, no vote (typically not geographically located near the club)
Your Name*

First NameLast Name
Family member name (required only if applying for a Family membership Only).

First NameLast Name
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Occupation*
Generic description of what you do for work.
Phone Number*
Please enter a valid phone number.
How many Rhodesian Ridgebacks do you own and what are their names:*
Please type in the name of a current CBARRC member you would like to have endorse your application. If you know their email address please include it here. *
If you choose to electronically submit the form, and mail in the application fee, please make your check or money order out to: CBARRC

Please mail your payment to the CBARRC Treasurer:

Julie Pulliam
10736 Blake Lane
Bealeton, VA 22712

Payment is due at the time of application.
CBARRC is always looking for volunteers to help with activities throughout the year. Without volunteers, events wouldn’t run smoothly and would be limited in scale and variety. Your support and help is greatly appreciated!!! Please let us know if you can help!

Yes, I would like to volunteer. Please contact me at the provided phone number.Yes, I would like to volunteer. Please contact me at the provided email address.No, I do not wish to volunteer at this time.
By electronically signing this form, I agree to abide by the constitution, bylaws and Code of Ethics of CBARRC.
Signature*

Clear
***IMPORTANT PLEASE READ***

Choose only one membership level. Because PayPal charges CBARRC a fee to use their payment service, CBARRC has added a $2 convenience for electronic membership applications (except Junior Membership which are no cost).
My Products
prevnext( X )
Junior Membership18 Years and under, no vote.
$ Free Quantity



Individual MembershipOne person, one vote. $25 (plus $2 convenience fee)
$27.00 Quantity



Family MembershipTwo or more persons, two votes. $35 (plus $2 convenience fee)
$37.00 Quantity



Associate MembershipOne person, no vote. $20 (plus $2 convenience fee)
$22.00 Quantity



Total

$0.00
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