Membership Application/Renewal
Personal Information
Name
*
First Name
Last Name
Email
*
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
-
Area Code
Phone Number
CKC Membership #
Have you ever been placed under suspension by or expelled by CKC or any other club?
Yes (If yes please explain)
No
Breeder Information
Kennel Name or Breeding Prefix
Website URL
Membership Selection
List a current member of the Alberta Boxer Club as a reference (New Applicants Only)
I am willing to participate in yearly events in a volunteer capacity.
yes
No
Would you like to be listed on our website as a member?
Yes
No
If accepted for membership I agree to abide by the bylaws and COE of the Alberta Boxer Club and will do my fair share of the work when required.
yes
no
Select your membership option
*
One year individual membership $25.00
Dual membership $35.00
Junior membership (18 and under), non voting member FREE
Boxer Rescue donation (optional)
Specialty and Booster donation (optional)
Total
Submit
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