American Beauceron Club 2017 Membership Renewal Form
The ABC membership year runs from January 1st through December 31st of each calendar year. Please complete the renewal form and pay your dues by January 1st. Renewals will be considered incomplete unless both the renewal form and payment are received. Information on paying your dues is included below.
Renewing Member's First Name
Your answer
Renewing Member's Last Name
Your answer
Renewing Joint Member's First Name
(if applicable)
Your answer
Renewing Joint Member's Last Name
(if applicable)
Your answer
Street Address
Your answer
City
Your answer
State
Your answer
Zip Code
Your answer
Home Phone Number
Please note if it's the same as your mobile number
Your answer
Work Phone Number
Your answer
Mobile Phone Number
Your answer
E-mail Address
Your answer
What is your occupation?
Your answer
What is your kennel name (if applicable)?
Your answer
What is your website url (if applicable)?
Your answer
Joint Member's Mobile Phone Number
If applicable
Your answer
Joint Member's E-mail Address
If applicable
Your answer
Joint Member's Occupation
Your answer
Please note, your contact information will be included in the ABC Membership Directory unless specified otherwise.
The ABC often sends important club information, newsletters and announcements to its members via e-mail. Please acknowledge you understand you may not be receiving these items by mail.
Required
The American Beauceron Club has no paid staff and is run entirely by member volunteers. Please indicate which of the following you would be willing to help with (check as many as apply):
Required
Type of Membership
Required
Payment
I CERTIFY THAT THE INFORMATION PROVIDED HEREIN IS TRUE AND COMPLETE. I AGREE TO ABIDE BY THE CONSTITUTION AND BYLAWS AND CODE OF ETHICS OF THE AMERICAN BEAUCERON CLUB (ABC) AS WELL AS THE RULES AND REGULATIONS OF THE AMERICAN KENNEL CLUB (AKC). I UNDERSTAND THAT MY FAILURE TO COMPLY WITH ANY OF THE AGREED UPON REQUIREMENTS MAY RESULT IN THE SUSPENSION OR REVOCATION OF MY CLUB MEMBERSHIP, WITHOUT REFUND OF DUES PAID.
Required
Renewing Member's Electronic Signature
(By typing your name, you acknowledge your digital signature)
Your answer
Are you 18 year of age or older?
Renewing Joint Member's Electronic Signature
(By typing your name, you acknowledge your digital signature)
Your answer
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