French Brittany Gun Dog Association of America, Inc.

Epagneul Breton Club USA

MEMBERSHIP APPLICATION

Classifications
Associate Membership classifications include:  Single Membership (1 member 18+ yrs) Family Membership (two members 18+ in same household) and Junior Membership (under 18 yrs of age, non-voting). 

Annual Dues
Single Membership is $25.00, Family Membership is $40.00, and Junior Membership is $15.00. Memberships are renewable on an annual basis.

Membership benefits

Associate memberships will receive the magazine and invitations to club events. Single memberships are entitled to one vote. Family memberships are entitled to two votes. Junior memberships are non-voting. No one shall be entitled to the privileges of membership whose subscription is in arrears. The association has the final right of approval of all membership applications. Any person suspended by the Club shall forfeit all privileges associated with membership thereof.

Make all checks payable to: The French Brittany Gun Dog Association of America, Inc. and mail, with the following application to:
The French Brittany Gun Dog Association, Inc.  c/o Lynda Kieres, 3677 Sagehill Dr. Stevensville, Mt. 59870


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MEMBERSHIP APPLICATION

NAME:____________________________________________________________________ (please print clearly)

ADDRESS:________________________________________________________________TELEPHONE:______________________________

CITY, STATE, ZIP:________________________________________________    E-MAIL:___________________________________________

I am applying for membership as ____Single ____Family____Junior.  

We publish & distribute to our membership a directory of members’ names and addresses. Would you like you name included in that directory? _____Yes _____ No.

I currently own _______ (number) of French Brittanys (Epagneul Bretons).

Is your dog registered with the UKC as an Epagneul Breton? _____no _____yes. If yes, UKC Registration Number_____________________

Do you hunt your dog?_____ Do you breed french brittanys? ____yes____no. 

 If yes, would like to apply to be listed as a breeder with the association? ____no____yes, please send forms.

I would be interested in volunteering for:____Rescue_____Field Events_____Show Events_____Committees_____Other:_______________

I hereby apply for membership. I have read the objectives of the French Brittany Gun Dog Association, Inc.- Epagneul Breton Club USA and agree to uphold and maintain the philosophies set forth for the protection and promotion of the French brittany (Epagneul Breton) individually and as a breed, to protect and promote the interest of this association as a whole, as a member to strive to assist with the goals and objectives of this club and to conduct myself in such a way as to not discredit the breed or the association and to practice good sportsmanship at all times.

 

Signature:_______________________________________ Date:______________

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