CNMBC Membership Application

Membership participation in CNMBC events is key to the success of our events and of the club as a whole.

We have two types of membership available for one, two or three years before renewing:

 Active Member (Voting) $30.00 for one year; $60.00 for two years; or $90.00 for three years - With your paid membership you receive an automatic membership in the American Brittany Club and you receive the monthly American Brittany Club magazine and the CNMBC e-mails to members. You are eligible to vote for board of directors, nominate, and run for an elective office.
 Associate Member (Non-voting) $3.00 for one year; $6.00 for two years; $9.00 for thre years - Open to any family member or significant other of an active member.

Print form, fill-in information and mail with check to address below:

Name:
Mailing Address:
City:                                                                                          State:               Zip Code:
E-mail:
Phone:(_____)_____________________                         Cell:(_____)________________
Names of Other Members:
Number of Brittanys:_____   Brittanys Names:
Interests: (Check all that apply)
   ___ Agility      ___ Breed Shows  ___ Field Trials   ___ Breeding  ___ Pet
   ___ Fun Trial  ___ Hunt Test        ___ Obedience   ___ Social      ___ Other
(Check as applicable)
I (___am) (___am not) an active member of the American Brittany Club.
This is a (___)new (___) renewal CNMBC membership.

I agree to support the CNMBC goals, to participate in club activities, volunteer in support of the club, and to promote cooperation and friendship among my fellow Brittany owners.

_____________________________________________                   ______________
(Applicant Signature)                                                                     (Date)

Applying For:

Full Membership $30 - 1 Yr $60 - 2 Yrs $90 - 3 Yrs

Associate Membership $3 - 1 Yr � $6 - 2 Yrs $9 - 3 Yrs

Total Submitted: $ ______

Make check payable to: CNMBC
Send check with application form to: Bill Bradford, CNMBC Membership, 90 Camino Redondo,Placitas, NM 87043-9007

Updated February 8, 2010

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