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CBSRC Membership Application

The Carolina Boykin Spaniel Membership Information

Dues are $50.00 per year
The membership runs from July 1st to June 30th.

Make checks payable to :
Carolina Boykin Spaniel Retriever Club (CBSRC).
Dues may be sent to the following Address:
CBSRC Secretary
Chess Helms
9212 Hunters Greene Drive
Zebulon, NC 27597
Email questions to: helms49@bellsouth.net

Carolina Boykin Spaniel Retriever Club would like to welcome all of our new or returning members.

Membership

NEW MEMBERSHIP APPLICATION MEMBERSHIP RENEWAL

Annual Dues are $50 per year running from July 1-June 30
Name/s:

Address:

Phone:

e-mail:

Boykin's Name/s:

Dog Breed(s) currently owned:


IDo Do Not wish my information published in a club member directory.

NEW MEMBER PROFILE: Tell us a little about yourself and your dogs, what expertise you may bring to the Club, the activities you to participate in, and activities you would like the Club to provide for you as a member (continue on the back of this form if necessary).

ACTIVITIES AND EVENTS: (Please check all boxes which correspond to your interests)
Agility Upland Hunting Just Hanging Out With My Best Friend
Rescue Hunt Tests Waterfowl Hunting Dove HuntingTurkey HuntingTherapy Dog
ObedienceTrackingOther

In applying for membership with the Carolina Boykin Spaniel Retriever Club, I agree to abide by the Constitution, Bylaws, and rules of this Club.

Signature

Date

Signature

Date




Mail all payments to:
CBSRC Secretary
9212 Hunters Greene Drive
Zebulon, NC 27597