2008 / 09 HBMDCNY DUES RENEWAL NOTICE

Due by April 30, 2008. Per Club constitution and By-Laws re-application is required for failure to renew membership by April 30, 2008.

Please make checks payable to HBMDCNY. We accept personal checks or money orders ONLY.

NAME(S)____________________________________________________________________

KENNEL NAME (if applicable)___________________________________________________

ADDRESS:__________________________________________________________________

___________________________________________________________________________

TELEPHONE (HOME) ________________________________

WORK__________________________________

E MAIL __________________________________________________________

DO YOU WISH TO PARTICIPATE IN OUR ON -LINE YAHOO GROUP LIST? ________

INDIVIDUAL VOTING MEMBERHIP - $20.00 FAMILY VOTING MEMBERSHIP - $25.00

ASSOCIATE NON VOTING FAMILY MEMBERSHIP $15.00

ALL members must sign the following pledge:

I pledge to abide by the Constitution and By- Laws of the club and the Code of Ethics.

I will promote the positive interests of the Bernese Mountain Dog to the best of my abilities.

sign____________________________________________________________________________

Please check off any that apply or interest you:

_____ Owner _____Breeder _____TDI _____Conformation

_____Tracking _____Draft _____Obedience _____ Agility

_____RallyO _____Match show _____ Fun stuff (walks, Parades, Picnics) _____Board of Directors

_____ Education _____Programs Other ______________________________________________

Any donation to the General Fund or Rescue is greatly appreciated.

Membership Dues __________

Gen’l. Fund __________

Rescue __________

Total Enclosed __________

MAIL TO: Nancy Bullard 949 County Rte. 59 Cambridge, NY 12816 Tel. 518-677-8682 Vistaplatz@aol.com

Date: ______________

Please fill this form out completely, even if all your information remains the same. Thank you. If you have any questions feel free contact me.