Collie Club of New England Membership Application

I hereby make application for membership in the Collie Club of New England, Inc (CCNE). I agree to abide by the bylaws of the club and to conscientiously promote the interest in Collies to the best of my ability.
Dues: $15.00 annual fee due on March 31 each year. Initiation fee to join is $20.00 (totaling $35.00 with submission of this application.) Make all checks payable to Collie Club of New England, Inc.
First Name Last Name
Email Address
Street
City State Zip
Phone Occupation
Number of Years in Collies Do you "eye check"?
Bloodlines of your Collies
Do you sell puppies for resale?
Are you a Breeder Exhibitor Obedience Other
If other please specify:
Do you have children interested in Junior Handling?
In what other clubs are you a member?

Experience & Training in dog activities:

In what phase of phases would you volunteer to help in CCNE?

Hobbies other than dogs

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