Northeastern New York Golden Retriever Club, Inc



ONLINE MEMBERSHIP APPLICATION

 

Please provide the following contact information.
Fill in all that apply.

First Name
Last Name
Title
Member of GRCA?
(Yes or No)
Kennel
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
FAX
E-mail
Website URL

Select any of the following areas that you are currently involved in:

Conformation
Obedience
Hunting
Tracking
Agility
Therapy
Rescue
Other

If Other ... enter information below.

Are you interested in?

Committee Work
Matches/Organization
Newsletter
Fund Raising
Public Education
Breeder Referral
Membership
Rescue/Therapy
Other

If Other ... enter information below.


By submitting this membership application you are agreeing to abide by the club's current By-Laws and Constitution and by the Code Of Ethics of the Golden Retriever Club of America, Inc: and that you are a member in good standing with The American Kennel Club.

__________________________________/______________________
(Applicant(s) Signature(s) and Date

__________________________________/______________________
(Signature of Sponsoring Member and Date)

Please Print This form, sign and return with a check made payable to,
NENYGRC, Inc. for $25.00 per individual membership or $30.00 per Family Membership to:

NorthEastern New York Golden Retriever Club, Inc.
26 Brookview Dr.,
Schenectady,
NY 12303-4704

Now you may click Submit Form. We will hold your online application for you and you will 
be notified when your membership is processed.


ęCopyright 2001 NENYGRC, Inc  All Rights Reserved
Revised: Friday, June 05, 2015 01:31 PM .