NWRRC Membership Renewal Form

NWRRC Membership Renewal Form

Membership renewals are due by December 31st. Dues paid after January 31st will require a Club vote for renewal. Any questions? Hit Reply after sending or contact either: nwrrccorrespondingsecretary@gmail.com or treasnwrrc@gmail.com
I/We hereby renew my/our membership in the Northwest Rhodesian Ridgeback Club.
Has any of your contact information changed?

Yes
Full Name **

First NameLast Name
Phone Number **
Please enter a valid phone number.
Email Address **
example@example.com
If family membership, please list partner’s name, phone number, and email address below.

First NameLast Name
Family member—Phone Number
Please enter a valid phone number.
Family member—Email
example@example.com
Residential Address **

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code

My Products

Individual Member Dues

Annual dues for individual membership.

$16.00

Family Member Dues

Annual dues for family membership.

$26.00

Junior Member Dues

Annual dues for junior membership.

$1.00

Trophy Fund

To increase the donation amount, please increase the quantity shown below. Thank you!

$5.00 Quantity
Item subtotal:$0.00

Jillyn Trophy Fund

To increase the donation amount, please increase the quantity shown below. Thank you!

$5.00 Quantity
Item subtotal:$0.00

Rescue

To increase the donation amount, please increase the quantity shown below. Thank you!

$5.00 Quantity
Item subtotal:$0.00

General Fund

To increase the donation amount, please increase the quantity shown below. Thank you!

$5.00 Quantity
Item subtotal:$0.00

Breeder Listing

Click on Breeder Listing to below to enter your kennel information.

$16.00 Quantity

Total

$0.00

Credit Card

I/We agree to abide by the rules and decisions of the American Kennel Club; the rules and decisions and the Constitution and By-Laws of the Northwest Rhodesian Ridgeback Club; and the Rhodesian Ridgeback Club of the United Sates Code of Ethics as shown here: https://rrcus.org/Code-of-Ethics. I/We agree to hold harmless NWRRC members, officers, and/or board members from any loss, injury, errors or omissions. I/We am/are 18 years of age or older (Jr. Member requires a parent's signature as well as the Jr.'s signature) and am/are in good standing with the American Kennel Club. I/We agree to email notification of club business and events.
Signature of Applicant

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Date

MonthDayYear
Date
Signature of Co-Applicant

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Date

MonthDayYear
Date
Breeder Listing

Yes, I meet all the requirements to be included on the NWRRC website and I have included payment above.
Breeders Directory:

$16.00 I/We have been members for over 3 years, agree to abide by the RRCUS Code of Ethics and wish to be included in the Northwest Rhodesian Ridgeback Breeders Directory. In my role as a responsible breeder, I will make every effort to engage with and help educate the puppy buying public about the breed. If you are no longer a member of the NWRRC, are in violation of the RRCUS code of ethics, or are suspended for the AKC, your name will be removed from the NWRRC breeders list and you will not be able to reapply to be on the NWRRC Breeders list until 3 years after your RRCUS violation and/or AKC suspension has been resolved.
Kennel Name
Breeder Kennel Owner

First NameLast Name
Breeder Kennel Email
example@example.com
Breeder Kennel Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Breeder Kennel Phone Number
Please enter a valid phone number.
Website
Additional Comments
Should be Empty: