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 2018 Membership Renewal Application


Annual Membership RENEWAL MUST be received by December 31st.
Dues are for the membership Year January 1 - December 31 2018


Any former member renewing their membership after a break in membership and owning any Cavaliers not registered with the CKCSC must complete the New Member Application Supplemental List of Dogs Not Registered with the CKCSC-USA and submit it with your Membership Renewal Application to take advantage of a one-time reduced registration fees in effect for Renewing Members.


= Required Field
  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.

  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 material per household.)
Name of 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 **
  Donation to Cavaliers of the MidWest $
Membership @ $20.00
Membership for family member @ $20.00 **
  Donation to Cavaliers of the NorthEast $
Membership @ $20.00
Membership for family member @ $20.00 **
  Donation to Cavaliers of the South $
Membership @ $20.00
Membership for family member @ $20.00 **
  Donation to Cavaliers of the West $

  Auto membership renewal - (optional)
We are very pleased to provide this service to all members.
By selecting this feature your membership will be automatically renewed so that you do not miss any of the great offerings of the CKCSC. This feature will automatically renew national and regional memberships as well as statistics only.
You will have the ability to provide donations on an annual basis online. You will automatically receive an email from the membership office when your membership(s) are renewed. Finally, you can opt out of this feature at any time by contacting the membership office.

  Payment Information
All fields in this section are required
Credit Card Type:
Card Number:     Expiration Date:   
Card Holder Name: 
I hereby apply for membership renewal in the Cavalier King Charles Spaniel Club, U.S.A., Inc. I understand that the By-Laws of the CKCSC, U.S.A., Inc. include the Code of Ethics. I agree to abide by the By-Laws and all other policies and procedures of the CKCSC, U.S.A., Inc. in force on the date of my renewal and as may be subsequently modified and/or amended by the Officers, Directors and Members of the CKCSC, U.S.A., Inc.
  


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