Online Membership Form

Instructions

INSTRUCTIONS:

ALL fields marked * ARE REQUIRED
Referral Memberships please choose Referral under “Type of Application”
New & Renewal applications, once you have submitted all the membership information, you will be directed to a separate page to complete your payment online (e-transfer or credit card).

NEW & RENEWAL APPLICANTS 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.

Memberships received AFTER November 1 are deemed to be for the following year.

Type of Application: *

New

Renewal

Referral

Type of Membership: *

Single ($35.00)

Joint Membership ($40.00 - 2 people same household)

Single Membership + Junior Membership ($35 single + $2.50 junior - Ages 8 - 15)

Joint Membership + Junior Membership ($40 - 2 people same household + $2.50 junior - Ages 8 - 15)

Type of Referral Membership: *

Single

Joint Membership

Single Membership + Junior Membership

Joint Membership + Junior Membership

Last Name: *

First Name: *

Email: *

Joint Member Last Name: *

Joint Member First Name: *

Joint Member Email: *

Junior Member Last Name: *

Junior Member First Name: *

Junior Member Age: *

Address: *

Country

City

State

Zip code

Phone: *

Kennel Name:

Tattoo Combination:

Payment *

Are you paying by:

E-transfer (auto-deposit no password required)

Credit Card

Cheque

Name of Referrer: *

e-Signature: *

selecting Yes indicates that you agree to abide by the GRCC membership requirements, Code of Ethics and agree to pay the required fees electronically

Yes

E-Signature: *

selecting Yes indicates that you agree to abide by the GRCC membership requirements, Code of Ethics.

Yes

Referral Memberships:

Upon hitting submit you will be taken to a payment processing page. Please do not submit payment. Once your referral membership application is processed, the membership secretary will be in contact with you.

Upon hitting submit you will be taken to a payment processing page. Please do not submit payment. Once your referral membership application is processed, the membership secretary will be in contact with you.

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