United States Bordeaux Corporation
Membership Application

Annual Membership Fee: Domestic $25.00 USA funds
Membership Year Ends on December 31
Membership must be renewed annually
Date of Application:

Name:

Street:

City:

State: Zip:

Telephone:

Daytime: Evening:

Occupation:

e-mail Address:S


I am interested in helping with:
Newsletter
Fundraising
National Show
Local Area Show
Public Relations
Special Projects
Other

If you are a breeder please complete:
What is your kennel name?

Do you welcome inquiries?

Do you offer stud service to others?


Enclosed is $25.00 for the first year's membership fee.
Signature:

NOTE: YOU MUST SIGN THE CODE OF ETHICS AND
SEND IT ALONG WITH THIS APPLICATION
PLEASE PRINT AND SEND THIS APPLICATION WITH YOUR CHECK/MONEY ORDER TO:

United States Bordeaux Corporation
7420 Woolsey Road
Girard, PA 16417-8730