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Online Membership Application

 

Type of Membership
(please select one)

Regular - $20.00 / year *

Household - $25.00 / year *

Associate - $15.00 / year

* Requires ownership of GSMD and residence in Club Territory
First Name
Last Name
Kennel Name (if applicable)
Address
City
State
Zip Code
Home Phone
Cell Phone
Email
Note: Two (2) sponsors who are currently members in good standing in the Lake Shore GSMD Club must support and endorse all Regular and Household membership applications. Regular and Household membership is contingent upon approval by the Voting Membership of Lake Shore GSMD Club. Applicants for Associate membership need not meet these criteria.
Sponsor #1
Sponsor #2
Interest (please check all areas that apply)
Agility Breeding
Carting / Freight Conformation
Herding Obedience
Pack Dog Schutzhund
Search and Rescue Therapy
Tracking Weight Pulling
Other (specify)
If you would be interested in assisting Lake Shore GSMD Club in any of the following areas, please check the boxes below:
Publicity Newsletter
Fun Shows or Matches Web Pages
Other (specify)
I/We agree to abide by the Constitution and ByLaws of the Lake Shore Greater Swiss Mountain Dog Club, Inc (Lake Shore GSMD Club) and by the rules and regulations of the American Kennel Club
Name of Primary Member
Name of Secondary Member
(Household only)

Dues Payment
(Plese click box to selecft payment type)

 I plan to pay using PayPal
I will mail check