GLLC Membership Application

Name:________________________________________________________________

Address: ______________________________________________________________

Address: ______________________________________________________________

Phone:__________________________ E/Mail:_______________________________

I/We are willing to accept information from the club by e/mail (this saves the club postage): Yes No

If yes: I promise that I will keep the club supplied with a current e/mail address.

Names of Leonberger family Members (dogs):

1: ____________________________________________________________________

2: ____________________________________________________________________

3: ____________________________________________________________________

My/Our interests include: Dog Shows_______ Obedience Trials ________________

Agility____________ Therapy Work_____________ Rescue__________________

Water Rescue _________________ Other_____________________________________________________________

I/We can volunteer for Events & Picnics: Yes _____ No ______

What we feel we can offer the club:

I agree to follow the constitution and by-laws set forth by the Great Lakes Leonberger Club and the Leonberger Club of America. The purpose of this regional

club is to organize activities, educate new Leonberger owners, encourage sportsmanlike competitions at show, and to uphold the policies of the Leonberger Club

of America.

This Club is operated in affiliation with the LCA and all GLLC Members must be members in good standing with the LCA.

Signed:_________________________________________________________________

Date:____________________________

Dues are $20.00 for a single or a family membership. Please Return this form and dues fee (check or Money Order Payable to: Great Lakes Leonberger Club)

Mail to: Gary Bohinc 12385 Nantucket Dr., Munson, OH, 44024