CKCSC Promise
Regions
Cavaliers of the MidWest - (CMW)
IL, IN, IA, KS, KY, MI MN, MO, ND, SD, NE, OH, OK, TX, WI
Cavaliers of the North East - (CNE)
CT, DE, DC, ME, MD, MA, NH, NJ, NY, RI, PA, VT, WV
Cavaliers of the South - (COS)
AL, AR, FL, GA, LA, MS, NC, SC, TN, VA
Cavaliers of the West - (COTW)
AK, AZ, CA, CO, HI, ID, NV, MT, NM, OR, UT, WA, WY
 
CKCSC 2017 New Membership Application


Please use one form per individual.

NOTE: Regular and Associate Memberships are granted to individuals on an annual basis from January 1 to December 31. The membership of a person joining from October 1 through December 31 shall run until the end of the following year. Club publications distributed to all members are the Bulletin (Published three times a year) and the Yearbook (annually in October). New members will receive those Club publications which are distributed to all members at the time of general distribution from the date (day) of but not prior to the date (day) of membership acceptance.

All four Regional Clubs welcome new Members from all parts of the country and sponsor Championship Point Shows, Fun Matches, Health Clinics, Educational seminars and other activities. In addition to the National's Bulletin, all four Regional Clubs also produce their own informative newsletters that provide additional information on local/regional activities. The only requirement for membership in a Regional Club is membership in the CKCSC, USA, Inc.

Anyone owning at least one Cavalier must apply for Regular Membership. If your Cavalier is not already registered with the CKCSC-USA, you must complete the New Member Application Supplemental List of Dogs Not Registered with the CKCSC-USA and submit it with your New Membership Application to take advantage of reduced registration fees in effect for New Members.


= Required Field

Referred by:
If you were referred by a current CKCSC member please enter their name here.
  Personal Information

First Name

Middle Initial
 
Last Name


Address Line 1

Address Line 2
 
Phone


City

State/Province/Region
 
Work Telephone

Cell Phone

-
Zip - Zip4

Country
 
Fax


email Address
 
Confirm email Address

: You will receive emails when show premiums are available for download. Check this box if you also want a paper premium mailed to you.

  Dog Information
Fields in this section are required if you are applying for Regular Membership.

Registered Name of Dog:


CKCSC Registration #:
T-
Transfer # (if applicable):

Color:

Sex:

  National Information
Membership Type: 
  Available with regular membership only
The additional family member is a Regular Member who can vote and show at all CKCSC events. No additional club publications will be sent to the additional family member. (one set of printed materials per household.)
Additional Family Member:

Please make the appropriate choice below.


Unless indicated otherwise, any donations to CKCSC, USA and its Regional affiliates are not tax deductable.

Donation to the CKCSC-USA, Inc. $

Donation to the CKCSC USA, Inc. National Health & Education Fund $

Donation to the Cavalier Health Foundation (Tax Deductible) $
  Regional Information
(Membership in the CKCSC USA is a prerequisite to membership in the Regional Clubs)
** Regional Membership options below for a family member noted above will have voting rights and receive all regional publications.

Membership @ $20.00
Membership for family member @ $20.00 **
Illinois, Indiana, Iowa, Kansas, Kentucky, Michigan, Missouri, Minnesota, North Dakota, South Dakota, Nebraska, Ohio, Oklahoma, Texas, Wisconsin

  Donation to Cavaliers of the MidWest $

Membership @ $20.00
Membership for family member @ $20.00 **
Connecticut, Delaware, District of Columbia, Maine, Maryland, Massachusetts, New Hampshire, New Jersey, New York, Rhode Island, Pennsylvania, Vermont, West Virginia,

  Donation to Cavaliers of the NorthEast $

Membership @ $20.00
Membership for family member @ $20.00 **
Alabama, Arkansas, Florida, Georgia, Louisiana, Mississippi, North Carolina, South Carolina, Tennessee, Virginia

  Donation to Cavaliers of the South $

Membership @ $20.00
Membership for family member @ $20.00 **
Alaska, Arizona, California, Colorado, Hawaii, Idaho, Nevada, Montana, New Mexico, Oregon, Utah, Washington, Wyoming

  Donation to Cavaliers of the West $


  Payment Information
All fields in this section are required
Credit Card Type:

Card Number:     Expiration Date:   
Card Holder Name: 

I hereby apply for membership in the Cavalier King Charles Spaniel Club, USA, Inc. (CKCSC,USA, Inc.). I understand that the By-Laws of the CKCSC, USA, Inc. include the Code of Ethics. I agree to abide by the By-Laws and all other Policies and Procedures of the CKCSC, USA, Inc. as in force at the date of my application and as may be subsequently modified and/or amended by the Officers, Directors, and Members of the CKCSC, USA, Inc.. Membership approval is not automatically granted.

  


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