Membership Form – Dachshund Alliance of Ontario

Applicant

First Name *

Last Name *

Cell Phone *

Work Phone

Email Address *

Family Member Added to This Membership

First Name

Last Name

Cell Phone

Work Phone

Email Address

Membership Fee and Payment

$45.00

Juniors: Free

E-transfer
[email protected]

Or mail your cheque, payable to Dachshund Alliance:
Barb Heuman
516243 County Rd. 124
Melancthon, ON L8V 1T9

BreederExhibitorOwnerJunior

CKC Membership #

Member InterestPlease tell us what your interest in the club is and which committees appeal to you. Do you have special experience in banking, legal, veterinary (dog health), breeding, show handling, or sports events?