OHIO-PENN BORDER COLLIE CLUB

Membership Application

Please Print out this form and mail it to:

Sandy Swartz
RD 4 Box 58 B
Cochranton, PA 16314


Name_________________________________________

Address______________________________________

City,State,Zip________________________________

Phone_____________________  Fax___________________

QUESTIONAIRE

How many Border Collies do you own?_______________________

Do You own Livestock?________________________

What, if any, dog activities are you involved in?____________________________

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What do you hope to gain from a breed club?__________________________________

_____________________________________________________________________________

Please consider what you can contibute to the club. Can you write an article for our newsleter, host a fun day or hold a clinic on your property?

____________________________________________________________________________

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Signed_______________________________

Please include your membership fee of $10