Online Membership Form

This form can be used for applying for New Membership or Membership Renewal.

Instructions

INSTRUCTIONS:

Each person applying for a Single, Joint Household, or Junior Membership must complete the Membership Application and submit the form individually.
ALL fields marked * ARE REQUIRED
Click the Submit button to send in your data
Once you have submitted all the membership information, you will be directed to a separate page to complete your payment online. An online convenience fee of about 3%+$0.30 is included. Payments are securely made online through PayPal, which also accepts most credit cards. Please note that the GRCC cannot accept credit card payments directly.

PLEASE NOTE: Your electronic form acceptance is not finalized until we receive your payment. Online submissions will be CANCELLED if your online payment is not received.

I/we agree to abide by the Constitution and Bylaws of the Club and to honour its Code of Ethics.

Type of Application: *

New

Renewal

Type of Membership: *

Single ($36.50)

Joint Household ($41.50 - 2 people)

Junior ($2.50 - Ages 8 - 15, with Single or Joint Household)

Title:

Last Name: *

First Name: *

Joint Member Title (if applicable):

Joint Member Last Name (if applicable):

Joint Member First Name (if applicable):

Age (junior members only):

Address: *

Country

City

State

Zip code

Phone: *

Email: *

Kennel Name:

Tattoo Combination:

Date: *

e-Signature (selecting Yes indicates that you agree to abide by the GRCC membership requirements and agree to pay the required fees electronically): *

Yes