NAME:_________________________________ PHONE: _________________
________________________________________________________________
Farm name/street address/box number
City ___________________________ State ___________ Zip ______________
e-mail address _________________________________________________
Enclosed is (please check one)
__ $15 for one-year membership -- USA
__ $18 for one-year membership -- Canada
__ $24 for one-year membership outside the U.S. or
Canada
__ $30 for two-year membership -- USA
__ $45 for three-year membership -- USA
__ $150 lifetime membership -- USA
__ $180 lifetime membership -- Canada
__ $240 lifetime membership outside the USA or Canada
__ Change of address (no fee)
I am interested in
__ Herding
__ Obedience
__ Agility
__ Tracking
__ Flyball
__ Sled Dog Racing
__ Information on how my Border Collie might be a happier companion
I would/would not be interested in contributing newsletter ideas or stories
Circle any USBCC committee you'd be willing to work on: public education, info, scientific, membership, promotions, budget, rescue, trials, obedience and agility, border collie health
I subscribe to the objectives of the USBCC
____________________________________________
Signature and Date
Send to Laura Carson, Treasurer, United States Border Collie Club, 1712 Hertford Street, Greensboro, NC 27403. Make all checks payable to the USBCC (U.S. funds only, please)
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