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NAME/NOM:
NAME/NOM: |
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ADDRESS/ADRESSE: |
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POSTAL CODE/CODE POSTAL: |
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TELEPHONE/FAX: |
EMAIL:
Kennel
Name: |
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Do you own a registered
or registerable GSD?/Etes-vous proprietaire d’un Berger
Allemand enregistrie ou enregistrable? |
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Are you a member of the
CKC?/Etes-vous membre du CKC? |
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CKC/CCC # |
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Are you a member of
any other dog club?/Etes-vous membre de d’autres clubs canin?
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Are you a member of
any other dog club?/Etes-vous membre de d’autres clubs canin?
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If accepted as a member,
I will uphold the Constitution and By-Laws of the German Shepherd
Dog Club of Canada Inc./Si je suis accepte comme membre, je promets
de respecter la Constitution et les reglements de“German
Shepherd Dog Club of Canada Inc.”
Yes
Date: _____________________
Signature: ________________________________ |
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Visa Mastercard Cheque Money Order
Card Number Ex.Date: ________________
Card Holder Name (Print): _________________________________
Card Holder Signature: ____________________________________ |
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FEE/Cout: $45.00 Single/Une
Personne - $50.00 Double/Deux (Foreign applicants add $10.00)
YOUR MEMBERSHIP FEE INCLUDES THE GAZETTE
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Send payment made payable
to the GSDCC Inc.
Membership Chair:
Les Salowski
661 Rougement Drive
Pickering, ON L1W 2C3
Phone: 905-509-3840
Email: sheppup@rogers.com
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Membership # or name of member who recommended that
you join: |