CAIRN TERRIER CLUB OF CANADA
MEMBERSHIP RENEWAL
Member Information
Name(s)
:
Address:
City, Prov.
Postal Code:
Phone No.
Email Address:
CKC Membership No.
Breeders Only
Kennel Name:
Tattoo Combination
Do you want to be on the Breeder's Referral List?
yes
No
Please check what information you want listed.
Phone #
Email Address
Website
web address
Membership Type
Single Associate $25
Single Voting $30
Joint Associate $35
Joint Voting $45
Dues received after March 31 is subject to a $5.00 surcharge
Donations
Trophy Fund
National
Martimes
Quebec
Ontario
Prairie
B.C.
Amount:
Rescue
Martime
Quebec
Ontario
Prairie
B.C.
Amount
Other: Yearbook
Best Liitle Pal Fund:
Health Research Fund:
Total Amount