Braque du Bourbonnais Club of North America - Membership Application

Braque du Bourbonnais Club

North America

Membership Application

Membership Type (please circle one): New Renewal

Dues Type (please circle one): Single $30 Family $50

(BBC Memberships are valid for one year: January 1 through December 31)

Name:__________________________________________________________________

Spouse (if Family Membership):__________________________________________________

Address_________________________________________________________________

City/State/Zip:_____________________________________________________________

Phone (______)______________ Email________________________________________

(for Chapter correspondence)

Number of Braque du Bourbonnais owned:_______________________________________

BB Name:_______________________________________________Sex:_____________

By applying for membership you agree to abide by the Bylaws and Code of Ethics of the

Braque du Bourbonnais Club of North America.

Signature:________________________________________Date:___________________

Mail the application and dues to: Braque du Bourbonnais Club of North America

BBC Treasurer

5900 Saltillo Road

Lincoln NE 68516

Email: BdB4ME@AOL.com

Note: A single membership is a single vote in elections. A family membership is two votes in elections.