Lake Shore Greater Swiss Mountain Dog Club

Type of Membership *

Please select one. Regular or Household membership requires ownership of GSMD and residence in Club Territory

Regular - $20/year

Household - $25/year

Associate - $15/year

Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

####

Areas of Interest

Check all that apply

Agility

Breeding

Carting/Freight

Conformation

Herding

Obedience

Pack Dog

Rally

Search and Rescue

Therapy

Tracking

Weight Pulling

Other (please specify in comment box)

Assistance

If you would be interested in assisting Lake Shore GSMD Club in any of the following areas, please check the boxes below:

Event Planning

Fun Shows or Matches

Publicity

Web Pages

Other (please specify in comment box)

Consent *

I/We agree to abide by the Constitution and ByLaws of the Lake Shore Greater Swiss Mountain Dog Club, Inc (Lake Shore GSMD Club) and by the rules and regulations of the American Kennel Club.

I agree

Method of Payment *

Payment of Club Dues (please select one)

I will pay online with PayPal

I will mail a check