CBARRC Membership Renewal Form

CBARRC Membership Renewal Form

This form can be used to electronically renew and pay for a current CBARRC membership. Membership runs from 1 January to 31 December with renewal no later than 31 January. You can use this form to pay electronically OR mail in your dues in the form of a check or money order (see bottom of form).
Select a membership for which you are renewing:*

Junior membership - no charge, must be under 18 years of age (no vote)$25 – Individual membership (one person, one vote)$35 – Family membership (two or more persons, two votes)$20 – Associate membership, (one person, no vote - typically not geographically located near the club)
Name*

First NameLast Name
Birth Month*
Birth Day*
If changing from Individual Membership to Family membership, please ADD NAME:

First NameLast Name
Birth Month of additional member, if applicable
Birth Day of additional member
Email*
example@example.com
Email of additional family member
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Occupation*
Occupation of additional (family) member
Phone Number*
Please enter a valid phone number.
Phone Number of additional member
Please enter a valid phone number.
Names of your current Ridgebacks:*
Breeders Directory (OPTIONAL)

CBARRC provides our members and the RR community with an online Breeder’s Directory as part of our website. To be eligible to be listed in the directory, you must be an AKC registered breeder, a member in good standing with RRCUS and a good standing voting member of CBARRC for a minimum of two years. Fee is $10/yr and must be paid with annual CBARRC dues by online form submission with dues payment via PayPal, or by mail.
Please choose from the following:

YES, I/we wish to be listed in the CBARRC Breeder's Directory.NO, I/we do not wish to be listed in the Breeder's Directory.
By clicking here, I understand that to be listed in the CBARRC Breeder Directory I must be an AKC registered breeder, be a member in good standing with RRCUS and a good standing voting member of CBARRC for a minimum of two years.

Yes I agree
URL of website to be listed in the breeder directory:
Phone Number to be listed in the breeder directory:
Kennel Name to be listed in the breeder directory:
Email address to be listed in the breeder directory:
Go here to read the CBARRC CODE OF ETHICS
____________________________________________________

MAIL IN RENEWAL OPTION:

If you wish to mail your renewal payment instead of paying electronically, Please make check or money order payable to: CBARRC and mail to our Treasurer:

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

Please note: due to theft, please take great care in mailing your payment if you choose to do so, by enclosing it in a security envelope. Please annotate on your payment that it is for CBARRC Membership Renewal.

__________________________________________________________________
By signing below, I agree to abide by the constitution, bylaws, and Code of Ethics of CBARRC and of the American Kennel Club. See www.cbarrc.org for constitution, bylaws, and Code of Ethics. *

Clear
Volunteers Needed!

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!
Volunteers, please let us know the best way to contact you:

Please contact me via email provided on the renewal formPlease call me at the number provided on the renewal formI do not wish to volunteer at this time
***PLEASE READ*** Choose one membership level for renewal. Because PayPal charges us a fee to use their payment service, CBARRC has added a $2 convenience fee for electronic renewals (except Junior Membership which are no cost). $1 has also been added to the CBARRC Breeder's Directory listing.
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Junior Membership18 years & under, no vote
$ Free Quantity



Individual MembershipOne person, one vote
$27.00 Quantity
Item subtotal:$0.00



Family MembershipTwo or more persons, two votes
$37.00 Quantity
Item subtotal:$0.00



Associate MembershipOne person, no vote
$22.00 Quantity



CBARRC Breeder's DirectoryI understand that to be listed in the CBARRC Breeder Directory I must be an AKC registered breeder, be a member in good standing with RRCUS and a good standing voting member of CBARRC for a minimum of two years
$11.00 Quantity



Total

$0.00
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CBARRC Membership Renewal Form

Breeders Directory (OPTIONAL)

Volunteers Needed!