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?
Applicant Name

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

First NameLast Name
Family member birth month
Family member birth day
Applicant Email
example@example.com
Email of additional family member, if applicable
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Occupation
Generic description of what you do for work.
Occupation of family member
Generic description of what you do for work.
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
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:

Elizabeth Goodman
P.O. Box 2438
Leesburg, VA 20177

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!
My preferred contact method is:
By electronically signing this form, I agree to abide by the constitution, bylaws and Code of Ethics of CBARRC.
Signature
***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).
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Junior Membership
18 Years and under, no vote.

Free Quantity



Individual Membership
One person, one vote. $25 (plus $2 convenience fee)

$27.00 Quantity



Family Membership
Two or more persons, two votes. $35 (plus $2 convenience fee)

$37.00 Quantity



Associate Membership
One person, no vote. $20 (plus $2 convenience fee)

$22.00 Quantity



Total

$0.00
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CBARRC New Membership Application

My Products