Lincoln Trail BSD Club

 

Membership Application

 

 

Name(s) _____________________________________________________________________

 

Mailing Address _______________________________________________________________

 

___________________________________________________________________________     

 

____________________________________________________________________________

 

Telephone:         Home _______________________  Business _________________________

 

Email address: ___________________________________________________________

 

Website address: ______________________________________________________________

 

In what way(s) would you like to assist LTBSDC? ____________________________________

 

____________________________________________________________________________

 

 

Interests:  Conformation ____  Obedience ____ Agility ____  Tracking _____  Other_________

 

Sponsor’s signature (current member of the club) & date:

 

____________________________________________________________________________

 

Applicant’s signature & date:

 

____________________________________________________________________________

 

 

Dues/ memberships (circle):       Single $10/year              Family $15/year

 

Make checks payable to Lincoln Trail BSD Club.   Return application & check for dues to

Cathi Blackburn, Secretary

Email for mailing address.