BCSA Affiliate Club Membership Application - NEW To apply for new Affiliate Club Membership, enter your information in the fields below and click SUBMIT. Mail the required documents to Suzanne LeRoy, BCSA Corresponding Secretary, 40058 17th St W, Palmdale, CA 93551. Club InformationClub Name*Address Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Contact InformationName First Last PhoneEmail Required At least one member of the applying club must be a member of BCSA. A copy of the current club roster showing names, address, email, etc. A copy of the club's constitution and by-laws. A copy of the current Board including name/address, phone number, email. BCSA Membership Chair's name/address must be added on to any newsletter mailing that goes out from the club. Membership Type/Dues*SELECT ONE$50 - Affiliate Club$40 - Associate Affiliate ClubMeeting Notices*Check one: YES Send BCSA meeting notifications by email NO Send BCSA meeting notifications by US mail I Agree To comply with BCSA's Code of Ethics. To support the Constitution and Bylaws of the Border Collie Society of America. To strive to fulfill the Mission and Vision of the Border Collie Society of America. (Clicking yes serves as my signature.)* YES No Total $0.00
