MEMBERSHIP

Application

Membership is $30.00 for individuals, and $35.00 for families.

Dog's Name: _______________________________________

Dog's Breed: _______________________________________

Dog's DOB: _______________________________________

Address: __________________________________________

_________________________________________________

Owner's Name: _____________________________________

Owner's Phone #: ___________________________________

Owner's E-mail: ____________________________________

I, _______________________________________________

agree to abide by the Constitution and By-Laws of The CRC.

________________________________________
Signature

________________________________________
Date

Send Memberships to:
The Charleston Retriever Club
P O BOX 364
Goose Creek, SC 29445
(843) 761-1932