MABC of MD
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Membership Application/Renewal
Sign up for membership using the form below or download this document and mail it in.
Application Type:
*
New Membership
Renewal
Membership Type:
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Single - $15
Family - $20
Junior (9-17 years) - Free
First and Last Name
*
Address
*
City
*
State
*
Select State
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Zip
*
When did you join?
*
How many years have you owned a Basneji?
*
If less than 1 year, enter 1.
Are you a breeder who has registered a litter in the past three years?
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Yes
No
Do you participate in other AKC events besides confirmation?
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Yes
No
Please let us know what AKC events you participate in.
Please Type your name below to act as your signature.
*
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