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BCSA AFFILIATE CLUB MEMBERSHIP eAPPLICATION/RENEWAL
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  Complete the form below to renew your for Affiliate Club Membership.  Review all information carefully before pressing "Submit Renewal".   After you "Submit" your form, you will have the option of paying your dues with a credit card via PayPal or mailing your payment. 

(R) = Required Information

   
CLUB INFORMATION
Club Name:   (R)
Address:   (R)
City:   (R)   
State:   (R)
Zip:   (R)
Best Telephone:   (R) 
   
CLUB CONTACT INFORMATION
Contact Name:   (R)
Best Telephone:   (R) 
E-mail:
  (R)
   
OTHER
Membership Type/Dues:   (R)
Meeting Notices:    (R)
Agreement:
(R) By selecting "AGREE", I agree to comply with the Code of Ethics, to support the Constitution and Bylaws and to strive to fulfill the Mission and Vision of the Border Collie Society of America.
Authorized Club Signature:
(R) By selecting "YES", I confirm that it has the same effect of my personal signature.
Required:
  • At least one member of the applying club must be a member of BCSA.

  • A copy of the current club roster showing names, address, email etc.

  • A copy of the Club's constitution and by-laws

  • A copy of the current Board including name/address, phone number, email

  • BCSA Membership Chair's name/address (see below) must be added on to any newsletter mailing that goes out from the Club.

You must enclose the items above for your Club's renewal to be processed.

PAYMENT:   (R)