Lowchen Club of America

Renewal Membership

You may only renew for the membership type you currently have. In order to move membership types, you must go through the approval process as outlined by the LCA Constitution and Bylaws. Family membership types are only available to two Full members who have both been approved to join the LCA. If you wish to add a family member to your household they must apply as a new applicant.

MEMBERSHIP TYPE

Individual $35

Family $50

Foreign $50

Associate $25

Junior $0.01

Name(s)

Street

City

State/Province

Zip

Phone

2nd Email (For household member Only)

Breeder's Referral List $20

Name

Kennel Name

Website

Phone

*Members must be in good standing for at least two consecutive years in order to be listed on the Breeder Referral page.

Donations

Health $

Trophy $

Rescue $

General $

Please indicate parts of the contact information you would like to share in the membership roster.

Address

Phone

Secondary Phone

Name Only

LCA Club of America utilizes online resources for many of its activities. I agree to accept electronic communication and online voting.

Date

Applicant Signature

TOTAL

Thank You, we received your submission.

To submit by snail mail

Download the form from the link.
Fill it out and mail with a check to

LCA Treasurer, Nancy Weller

30753 Molly B Rd.

Lewes, DE 19958

Make check payable (in US dollars) to The Lowchen Club of America.
If you wish to pay by PayPal, please send the fees to Lowchenclub@gmail.com

Membership Renewal Form

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