Transcription of *Both Annual and Lifetime Memberships o˜er the …
1 MEMBERSHIP APPLICATIONFor the Ameri can border Colli e Ass oci ation, PRINTNAME ADDRESS CITY STATE ZIPTELEPHONE: EMAIL: SELECT: Annual / Lifetime I AGREE TO THE RULES AND REGULATIONS SET FORTH BY THE AMERICAN border COLLIE DATE_____Ret ur n Member shi p Applicatio n to:Ameri can border Colli e Ass oci ation, Box 100 Cata ula, GA 31804 Phone (706) 322-4400 Email Addres s: ABCA@amer ic rg Website: mer ic rg01/18 YEAR 20 *Both Annual and Lifetime Memberships o er the same bene tsSERVICEFEE( Dollars) Annual Members hi p Lifetime Members hi p (Individual Only) $ $ tration for every pup/dog: Bef ore one year f rom date of bir th Over 1 year but less t han 2 yearsOver two years (DNA test r equired for dog & both parents) $ $ $ of Owners hi p $ :OFA Designatio n CEA Designatio n (Copy of CEA DNA results required)$ $ $ ic an border Collie Associ atio n Decals$ ( Davis accepted)(OFA and Cornell Hip accepted)(Optigen, Paw Print Genetics and Gene Check accepted) Credi t card# Exp.
2 Date CVS/Secur ity CodeName on CardPayment due with submittal. We accept Check, Money Order, Visa, Mastercard or Discover ( Funds).