BICHON FRISE CLUB OF CANADA
MEMBERSHIP APPLICATION FORM
(Applicants must be 18 yrs. of age or over)

PLEASE COMPLETE IN FULL and TYPE OR PRINT CLEARLY
Name: _______________________________________________________________________
Kennel Name (if any) ____________________________________________________________
Full Mailing Address: ___________________________________________________________
Postal Code: _____-_____ Home Tel: (         )_____-_______ E-Mail: _______________________
Web Site Address (URL): http://______________________________________________
Occupation: _____________________________________________________________
Type of Membership:
Single: _______________ or Family: ____________________
New: _______________ or Renewal_____________________
Are you a Member of the Canadian Kennel Club?  ___ If so, CKC No.: ____________


Are you a pet owner       or a breeder      of the Bichon Frise?

What dog related activities do your participate in with your Bichon:

Agility           Obedience           Rally-O           Flyball           Therapy          Other  

(If 'Other' - please describe:) ___________________________________________________


This section to be completed by Breeder Members (for Referral Service)
1. Is the Bichon Frise your primary breed? _____________
2. Do you show your Bichon Frise? ___________
3. What other Bichon Frise related sales and services do you offer:
                            Puppies_______ Older Dogs______ Stud Service _______ Grooming________
4. I/We wish to have our name listed on the BFCC website for referrals when eligible.
       YES             NO        (please circle one)
Annual Membership dues cover the period from July 1st in the current year to June 30th in the
following year and must accompany this application. Please make cheque or money order payable to the
BICHON FRISE CLUB OF CANADA and mail to:      


Marilyn Torrance
3027 Vaughan Side Road
Carp, ON K0A 1L0

Single Membership $30.00 per year        Family Membership: $35.00 per year
Children 18 years of age and over must apply for individual Membership.
I/We have read the CODE OF ETHICS (eff. Nov. 2005) for the BFCC and am/are in full agreement with it and the principles and purposes of the Club. I/We will abide by the Letters Patent of Incorporation issued pursuant to the Canada Corporations Act, and the By-Laws and Rules of the Bichon Frise Club of Canada.

__________________________________________________   
Signature of applicant(s):
___________________
Date:

_______________________________________        _______________________________________
Sponsor One - Ordinary BFCC Member                             Sponsor Two - Ordinary BFCC Member

Please Note: All applicants must sign. Applications will not be processed without signatures.


Form rev. jmm5/2006