2015 Membership Renewal Form
Annual NCBCC membership dues are due by January 1, 2015. Membership dues help finance the Club’s
programs and activities for the calendar year.
There are two levels of membership - Social and Active:
*Social Membership: Designed for those individuals principally interested in receiving the Club’s
newsletter and occasional participation in Club events. Social members are invited to participate in all
club activities. You will not count into the membership for the purpose o f a quorum and will not be able
to vote on Club business matters. If you are not going to attend at least three meetings per year, this
level of membership is suggested.
*Active Membership: Designed for those individuals interested in participating fully i n the Club’s
functions and assisting in the conduct of the business needs of the Club. You will be counted for the
basis of establishing a quorum and will be entitled to vote on business matters of the Club. If you are
available to attend three or more meetings per year and interested in sharing the duties/requirements
of the Club’s activities, active membership is suggested.
Dues (please circle which membership level you would like):
$20 for Social Membership (Single or Family)
$20 for Active Single Membership
$ 25 for Active Joint Membership
$20 for one Active and one Social
Member Name(s): ____________________________________________________________________
Address: __________________________________________________ __________________________
City: _____________________________________ State: _____________ Zip: ____________________
E-mail: _____________________________________________________________________________
Phone Number: ______________________________________ ________________________________
Dogs Name(s):_______________________________________________________________________
Please remit your dues check (payable to NCBCC) to Christa McChancy, 14364 Brown Road,
Sabillasville, MD 21780. Annual dues are due by January 1, 2015.
Members who have not remitted dues by March 1, 2015 will be considered as having allowed
their membership to lapse.