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GRCA NEW MEMBER APPLICATION

I hereby apply for membership in the Golden Retriever Club of America, Inc. I agree to abide by the Constitutions and Bylaws of GRCA and AKC, and further to promote the objectives of GRCA by:

  1. breeding Golden Retrievers that possess the soundness, temperament, natural ability and personality as reflected in the standard of the breed, and to do all possible to advance and promote the perfection of these qualities;
  2. doing all in my power to protect and advance the interest of the breed through my sportsmanlike competition in all areas;
  3. to follow the rules of AKC; and
  4. to be guided by GRCA's Code of Ethics.

I understand the subscription year is from January to December and that issues are not retroactive. All dues are on a calendar year basis, January to December. IF THIS APPLICATION IS ACCEPTED AFTER SEPTEMBER 15, NO DUES SHALL BE PAYABLE THE FOLLOWING YEAR.

For the United States:
( ) Single: $65 dues, subscription and application fee
( ) Family: $70 dues, subscription and application fee
( ) First Class Mailing of GRNews (optional): $25.00 additional

For Canada and Mexico: (Includes First Class Mailing of GRNews)
( ) Single: $115.00 dues, subscription and application fee
( ) Family: $120.00 dues, subscription and application fee

All Other Countries:
(Includes First Class Mailing of GRNews)
( ) Single: $215.00 dues, subscription and application fee
( ) Family : $220.00 dues, subscription and application fee
First Class mailing of GRNews included
( ) GRNews subscription ONLY: $185.00

All countries (Optional) Membership Only:
( ) Single: $30.00 dues and application fee only. NO GRNews
( ) Family: $35.00 dues and application fee only. NO GRNews

Name: ________________________________________ Date: ______________
Name: ________________________________________Phone: _____________
Street address: _____________________________________________________
City/State:_________________________________________ Zip: _____________
Email Address: _____________________________________________________
Website Address (if applicable): _________________________________________

Amount enclosed (or authorized to be charged to credit card): $ __________

Please mail completed form with fees to:
Deb Ascher, Membership Administrator, P.O. Box 69, Berthoud, CO 80513-0069
Make checks payable to The Golden Retriever Club of America, Inc., or GRCA. For credit card payment, complete all information below. FOREIGN CURRENCY must be payable in U.S. Funds by BANK MONEY ORDER (not postal money  order) in U.S. Dollars drawn on a U.S. Bank.

( ) Visa ( ) MasterCard
3 digit security code: ___________ Exp date: _______________
Cardholder signature: ____________________________________________________
Print Cardholder name: ___________________________________________________
Card number: __________________________________________________________
Please note: All applications are reviewed for acceptance by the GRCA Board of Directors and, if approved, will not be effective until 30 days after Board receipt. New applicants who are approved will receive a new member packet, acknowledging their membership approval.
 
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