BSCO Annual membership application

BRITTANY SPANIEL CLUB OF ONTARIO

MEMBERSHIP FORM
Membership category

Individual membership ($25.00 annually)Family membership ($30.00 annually)
Membership type

New membershipMembership renewal
Name
Email address
Street address
Street Address 2
City
Province
Postal Code
Phone Number

Area CodePhone Number
Cell Number

Area CodePhone Number
I am a member of the Canadian Kennel Club (not necessary for membership in BSCO).

yesno
If yes, CKC Membership Number
Dog(s)'s call name(s)
I am interested in:

HuntingField workObedienceShow/ConformationAgilityOther
I am paying by:

Cheque (sent via Canada Post to BSCO Treasurer)etransfer to "erkcorky@rogers.com"
Send your cheque made payable to the 'Brittany Spaniel Club of Ontario' to: BSCO Treasurer, 4155 Taffey Crescent, Mississauga, ON L5L 2A6

OR

etransfer to: erkcorky@rogers.com
Should be Empty: