SCBdFC
Southern California
Bouvier des Flandres Club Inc.
Membership Application
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Application
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The Southern California Bouvier des Flandres Club,
Inc. is a 501 (c) 3 non-profit organization
formed to advance and promote the breeding and training of purebred Bouvier des
Flandres under the rules and regulations of the American Kennel Club.
Monies obtained by the Club are devoted to the
above purposes and/or charitable or civic organizations. The types of membership
available are:
Voting membership is open to
all persons 18 years of age and older who are in good standing with the American
Kennel Club, who reside in the greater Los Angeles area, subscribe to the
purposes of this Club and who at the time of application for membership are
owner or part owner, or are the spouse of an owner or part owner of a Bouvier
des Flandres. While membership is to be unrestricted as to residence, the Club's
primary purpose is to be representative of the breeders, exhibitors and Bouvier
fanciers in its immediate geographic area. (re: greater Los Angeles area) Non-voting membership is open to all persons.
Voting Memberships:
a.
Regular Membership open to all persons 18 years of age or older, who meet the eligibility
requirements for membership and are sponsored by two (2 voting) members in good
standing with the Club and the applicant resides within the greater Los Angeles
area. Each regular membership shall be entitled to one vote.
Fee:$40
b. Household Membership shall be for two (2) or more
people living in the same household in the greater Los Angeles area. A household
membership shall be entitled to no more than two votes and those voting must be
eighteen (18) years of age or older at the time of application, meet the
eligibility requirements for membership, and are sponsored by two (2) members in
good standing with the Club.
Fee:$45
Non-voting Memberships:
a. Junior Membership: Open to any
person under 18 years of age, who is in good standing with the American Kennel
Club, who subscribes to the purposes of this Club, who at the time of
application meets the eligibility requirements for membership, and are sponsored
by two (2) members in good standing with the Club.
Junior members will not be entitled to vote on Club matters nor will they be
eligible to hold office. A Junior
member shall become a Regular member with all the rights and privileges attached
thereto upon reaching eighteen (18) years of age.
Dues of Junior members will be two/thirds (2/3) that of the Regular
membership and will remain at that level until the end of the calendar year in
which they turn eighteen (18) years of age.
Fee: $25
b. Associate Membership: Associate membership shall not require endorsement of any
members and does not require ownership of a Bouvier des Flandres.
Associate members can not vote or hold office, but will be entitled to
participate in all Club activities and will receive the Club Newsletter. Fee:
$36
A one time administrative fee of
$6.50 must be included with your application.
The applicant (s) must complete both
sides of this application and return it along with the yearly dues fee and the
administrative
fee
to the Secretary of the Club.
Name:_________________________________________________________________________
Address:_______________________________________________________________________
City:_________________________State:_____________________________Zip:_____________
Phone:_____________________________ Email:______________________________________
Occupation:_____________________________________________________________________
Do you plan to participate in or are you interested in the following:
__Conformation
__Bulletin
__Events __Hospitality
__Membership
__Obedience
__Rescue
__Trophies __Statistics
__Agility
__Show Committee
__Bouvier Boutique __Grooming
Do you plan to breed?____ Why?
_____________________________________________________
Signatures
of Sponsors 1.__________________________________________________________
(Two current members)
2.__________________________________________________________
I have read and understand the attached
"Guidelines For
Responsible Ownership ' and agree to abide by them.
Applicant
Signature:___________________________________________________________________
Applicant
Signature:___________________________________________________________________
Make
check payable to SCBdFC, Inc. and mail with completed application to:
Bill Walsh, Secretary
2556 Monogram Ave.
Long Beach, CA. 90815
Required Information for Membership
Number
of Bouvier litters of which you are recorded as breeder:_____
Number of total puppies produced from these
litters:_____
Number of litters produced yearly:_____
Please
complete the following for Bouviers currently owned:
Registered name:_________________________________________
AKC Number: _______________Date of birth:__________________
Sex:_______________________OFA#________________________
Sire:______________________________AKC
Number:___________________________
Dam:__________________________________AKC
Number:______________________________
Registered name:_________________________________________
AKC Number: _______________Date of birth:__________________
Sex:_______________________OFA#________________________
Sire:______________________________AKC
Number:___________________________
Dam:__________________________________AKC
Number:______________________________
Registered name:_________________________________________
AKC Number: _______________Date of birth:__________________
Sex:_______________________OFA#________________________
Sire:______________________________AKC
Number:___________________________
Dam:__________________________________AKC
Number:______________________________
Registered name:_________________________________________
AKC Number: _______________Date of birth:__________________
Sex:_______________________OFA#________________________
Sire:______________________________AKC
Number:___________________________
Dam:__________________________________AKC
Number:______________________________
Attach additional pages as
needed.
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Incorporated in the state of
California April 3, 1974 as a non-profit 501 (c)
corporation.