© The Rare Breed Club Of South Western Ontario
Application for RBCSWO
Membership Fees: $25.00 per single membership per year.
(Please Print or Type)
Name:______________________________________
Address:____________________________________
City/Town:__________________________________
Province/State:_______________________________
Postal/ZipCode:_______________________________
Telephone:__________________________________
Email:______________________________________
Fax:_______________________________________
Date of
Application:__________________________________
Kennel
Name/Breed:_________________________________
Please send Cheque or Money Order, made payable
to: The Rare Breed Club of South Western Ontario
Membership Chair: Joanne Chanyi
RR#7 Alvinston, ON
N0N 1A0
Telephone: 519-847-5206
E-mail: joanne@hoofprint.ws
