EmailMe Form - GSSCC Membership Application

German Shepherd Schutzhund Club of Canada Application for Membership

German Shepherd Schutzhund Club of Canada Application for Membership
Name *
GSSCC Membership # *
Youth (under 17 years residing at same address) *
Birthdate *
New Club: Contact Person *
Address *
City *
Province *
Postal Code *
Phone *
Fax *
E-mail *
Club Affiliation *
Province *
Signature
Date *
Fee Schedule
Family Membership 150.00
Single Membership $90.00
New Club $275.00
Single Foreign Membership $100.00
Family Renewal $125.00
Single Renewal $75.00
Club Renewal $225.00
Subscription:
Canada $50.00
Foreign $60.00
Dependen children under the age of 17 years whose parent(s) are members of the GSSCC are entitled to become a memeber at no cost
Clubs and members must renew within 30 days of teir expiry date. If at the end of thirty (30) days dues remain unpaid membership will be terminated.
A signed, initialed and witnessed waiver must accompany all membership applications and/or renewals. Incomplete applications will be returned.
Make cheques payable to Canadian funds and mail to: GSSCC Memberships:
22059 TWP 520, Sherwood Park, AB T8E 1E6
Method of payment:
Cheque enclosed
MasterCard
Visa
American Express
Credit Card Number
Expiry Date
Print Cardholder's Name
Signature of Cardholder

Please ensure a signed waiver is enclosed with your application form.