Cairn Terrier Club of Canada
Membership Renewal Form
By using this form you have agreed to pay a 4% service fee
Name(s):
*
Address:
City, Prov.:
Postal Code:
Phone Number:
Email Address:
*
CKC Membership No.:
If applicable
This section if for Breeders Only
Kennel Name:
Tattoo Combination:
if applicable
Do you want to be on the Breeder's List?
Yes
No
Website Address:
Membership Fees
Membership Fees
Single Associate $35
Joint Associate $45
Single Voting $35
Joint Voting $45
Late Fee
If applying to upgrade to voting member, please provide Sponsor's name and email address
Sponsor's Name:
Email Address:
Donations
Trophy Fund
National
B.C. Region
Prairie Region
Ontario Region
Quebec Region
Maritimes
Amount:
Rescue:
B.C. Region
Prairie Region
Ontario Region
Quebec Region
Maritime Region
Amount:
Yearbook Fund
Best Little Pal Fund
Health Research Fund
Versatility Fund
Sub-Total
4% service fee
Total Amount Due
CAD
Once you submit the form you will be redirected to PayPal to complete your payment.
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