Become a Member Online Form

Applicant(s) Information

Name:(Required)

First Last

Additional Name (for Household Membership):

First Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone Number:(Required)

Additional Phone Contact:

Email Address:(Required)

Additional Email Address:

Applicant(s) Questionnaire

Do You Currently Own A Bedlington Terrier or Have Recently Acquired A Puppy?(Required)

Are You Currently A Breeder Of Other Breed(s) or Interested In Breeding Bedlington Terriers?(Required)

Do You Have A Kennel Name?(Required)

Yes

Please List Kennel Name:

Are You Interested In AKC Activities or Events?(Required)

Yes

Please List Activities of Interest:

Briefly Describe What The BTCA Can Do For You:(Required)

What Can You Contribute To The BTCA? (Interests, Talents, And Other Remarks)(Required)

Sponsor's Information

Name:(Required)

First Last

How Do You Know The Applicant(s) and For How Long?(Required)

Other Remarks:(Required)

Confident Statement(Required)

I am confident the applicant(s) I am sponsoring will be members in good standing with the Bedlington Terrier Club of America (BTCA). I believe the applicant(s) will benefit from the BTCA and contribute in preserving the Bedlington Terrier. I will do my best to encourage the applicant(s) to participate in club activities. I have provided the applicant(s) a copy of the BTCA By Laws and Code of Ethics and/or provided access to the documents. I understand that more information might be necessary before the applicant(s) is/are approved and willing to answer any additional questions.

Sponsor's Signature:(Required)

In accordance with the Bedlington Terrier Club of America Bylaws:

All monetary amounts must be in US dollars
Applicant(s) must be sponsored by a BTCA member in good standing upon this form
New Member Application Fee is $20.00 in addition to membership dues (excludes Junior Membership)
Single Membership (one person household) annual dues are $45.00
Household Membership (two person per household) annual dues are $50.00
Foreign Membership (individual person outside of the United States) annual dues are $60.00
Junior Membership (18 years or younger) annual dues are $10.00
Applicant(s) applying for membership after November 1 are credited as dues paid in full for the following year

Applicantion Fee $20.00 (excluded for Junior Membership):(Required)

Price:

Type of Membership (check one):(Required)

Single $45.00

Household $50.00

Foreign $60.00

Junior $10.00

Total Amount Due:

Agreement Statement(Required)

I have read and agree to abide by the Bedlington Terrier Club of America , Inc. By Laws, Constitution, and Code of Ethics. I agree to all the Rules and Regulations of the American Kennel Club, Inc.

Applicant Signature:(Required)

Additional Household Member Signature:(Required)

The application for BTCA Membership must be signed by both the Applicant(s) and Sponsor.

Click here for the PDF Membership Application

Bedlington Terrier Club of America Membership Online Application

Applicant(s) Information

Applicant(s) Questionnaire

Sponsor's Information