The Cavalier King Charles Spaniel Club of Canada

Membership Application Form

THIS APPLICATION DOES NOT CONSTITUTE ACCEPTANCE OF THE APPLICANT AS A MEMBER. A LETTER WILL BE FORWARDED UPON ACCEPTANCE.PLEASE BE ADVISED THAT THE APPROVAL PROCESS FOR MEMBERSHIP IS A LENGTHY ONE, THAT CAN TAKE UP TO 6 MONTHS

(Please Print Clearly)

Name:

Address:

City:

Province/State:

Country:

Postal/Zip Code:

Phone Number:

Email Address:

Do you wish to be included on the list which is given to people who ask where to buy a Cavalier?

Yes

No

How did you become interested in the breed?

I am interested in Cavaliers as a: (Please mark all that apply below)

- As a Pet

- For Obedience

- For Showing

- For Breeding

- Visiting Institutions

- Club Work/Activities

I THE UNDERSIGNED, MAKE APPLICATION TO JOIN THE CAVALIER KING CHARLES SPANIEL CLUB OF CANADA. I HAVE

READ AND AGREE TO ABIDE BY THE CONSTITUTION, BY-LAWS AND CODE OF ETHICS AND HAVE READ AND ACKNOWLEDGE

THE BREED'S GUIDELINES.

Signature:

Date:

Sponsor 1:

Sponsor 2:

Membership fee is to be remitted with application. Please make cheque payable to CKCSCC.

Please Note: We are unable to accept personally discounted foreign fund cheques.

Membership Fees:

$25.00-For Single Membership

$30.00-For Family Membership

$22.00-For Senior Single Membership

$25.00-For Senior Family Membership

$35.00-For U.S. Membership

$40.00-For Overseas Membership