I hereby apply for membership in the Helderberg Bernese Mountain Dog Club. Download .PDF Application

Please download, sign and submit a copy of the Code of Ethics if you area applying for voting membership only.Download .PDF Code of Ethics

HELDERBERG BERNESE MOUNTAIN DOG CLUB OF NEW YORK
Membership Renewal Form



Member Name(s):
   
_________________________________________
                  
                                 
_________________________________________

Address:                 

_________________________________________

City, State, Zip:    

_________________________________________

Phone:                    

_________________________________________

E-Mail address:   

_________________________________________

Annual Dues:  (Please check Membership Type  --- See Bylaws for the description of each membership type)

______    Individual      $20.00

______    Household      $25.00    

______    Associate        $15.00

I am donating $______ to the HBMDCNY Rescue Fund

I am donating $______to the HBMDCNY General Fund

_______ $10.00 Postage fee for any Member who has an Email address, but who wishes to have the Club Newsletter Mailed

TOTAL ENCLOSED: ______________

Please make checks payable to HBMDCNY

Mail to:
Diane C. Duell
25 Meadow View Drive
Troy, New York  12180-6941


PLEASE NOTE:  Dues must be paid by April 30, 2009 or else you must reapply for membership.