BSDCC 2025 Membership Form

2024 BSDCC membership expires as of January 1st, 2025.

To renew your current membership or apply for membership online and pay by e-transfer or cheque, please complete the form and submit it with your payment.

As the year draws to a close, it's time to renew your membership! Once again, we are offering a $5 discount to all members who renew by November 30, 2024. On December 1st, the full amount will be payable.

Please go to www.bsdcc.org and renew as soon as possible. You won't want to miss out on the newsletters and the webinars we provide.

Any members who have not renewed by February 28th will lose all privileges afforded our members and will have to reapply.
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail*
example@example.com
Phone Number*

Area CodePhone Number
CKC Membership Number
Family membership*

yesno
Family member #2 Name*

First NameLast Name
Family member #2 email*
example@example.com
Family member #2 phone*

Area CodePhone Number
Family member #2 CKC Membership Number
Variety of Belgian Shepherd owned

GroenendaelLaekenMalinoisTervuren
I am a breeder and would like my kennel information listed on the BSDCC website. I understand that this is not an endorsement by the BSDCC it only indicates that my dues are paid and I have signed the membership pledge.

yesno
Kennel name
Website
Type of payment

E-transferCheque
Membership type

NEW Single ($55)RENEWAL Single ($50)NEW Family ($60)RENEWAL Family ($55)RENEWAL Junior ($45)NEW Junior ($50)RENEWAL Associate ($45)NEW Associate ($50)
Residents of Quebec: some Quebec based banks require a password to be set for e-transfers. In such case please use password "BSDCC" (without quotes, in capital letters).
Trophy donation amount
Belgians In Need donation amount
As you are aware, the Belgians In Need group has been very active in helping Belgians this year. We encourage you to generously support this activity
For e-transfers, please send to: Treasurer@bsdcc.org
Please specify the name the membership is for on the cheque, and mail it to:

Delvina Beaulac
BSDCC Treasurer
1859 Falcon Place
Agassiz, BC
V0M 1A1
By signing below and submitting payment the applicant agrees to adhere to the membership pledge:

“As a member of the BSDCC I will observe at all times and under all circumstances, GOOD SPORTSMANSHIP, COURTESY, AND RESPECT FOR OTHER PEOPLE. I will accept and uphold the objects of the Club as set out in the constitution.”
Date

MonthDayYear
City and Province
Full Name of Participant*

First NameLast Name
To sign this form on a pc, click/hold in the area below and move to draw your signature.
In case of technical issues, please email webmaster@bsdcc.org
Signature of applicant*

Clear
Full Name of applicant #2*

First NameLast Name
Signature of applicant #2*

Clear
Should be Empty: