Montana Brittany ClubMontana Brittany Club
Dues: $30/yr. Membership.

Membership Application

Dues: Membership: $30/yr., Family (two adult votes): $40/yr.


NAME_________________________________________________________________

ADDRESS______________________________________________________________

CITY____________________________STATE_____________ZIP________________

PHONE_____________________________E-MAIL____________________________
Please include your email address if you have one.  In an effort to save on mailing costs, we send our newsletter via email.

How did you hear about our club?_____________________________________________

SIGNATURE____________________________________________________________

I would like to participate in the following club events (check all that apply):

Field Trials (  )         Shows (  )        Hunt Tests (  )        Public Education (  )          Picnic (  )        Rescue Work (  )

Fun Trials/Events (  )        Obedience (  )        Agility (  )        Training (  )          Rally (  )

Other(s):__________________________________ (  )






Please email this information (just copy/paste and fill in the above info.) to: Membership Officer, Jan Breitenfeldt: Email

Or, mail application and dues to:  

MTBC Membership Officer
Jan Breitenfeldt
P.O. Box 883
Whitehall, MT 59759                                 Make checks payable to: Montana Brittany Club.

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