Southern Boykin Spaniel Club

Membership Application


Membership Dues: Annual Dues $35.00 per year. Due on August 1
st
. payable to
Southern Boykin Spaniel Club. Membership runs August 1
st
to July 31
st
.
As a member of this club, you are required to be a member of
The Boykin Spaniel Society. BSS Membership: Yes_____ No_____
(Annual dues are $35.00 for BSS) If you are not yet a member of
BSS, please enclose additional $35.00 and we will have application
sent to you directly from the Boykin Spaniel Society or apply online
at www.boykinspaniel.org (Future years will be billed directly from the
Boykin Spaniel Society for their membership)
Donations Accepted $_______________ (This goes to our start-up costs)

Name: ________________________________________________________________

Address: ___________________________ City:_____________ State:_____ Zip:______

Phone: (______)_____________________

E-Mail: ___________________________ Preferred Method of Contact:____________

Boykin Registered Name:____________________________________Call Name:__________

Interests:
____Upland Hunting ____Social Events ____Training Seminars ____Hunt Tests
____Dove Hunting ____Agility ____Dock Diving ____Obedience ____Volunteer for Events
____Breed Health ____Therapy Dog ____Duck Hunting

By applying to the Southern Boykin Spaniel Club, I agree to the Constitution, Bylaws, and rules of this
organization.

Signature: ______________________________ Date: ________________________

Return with Payment to:
Southern Boykin Spaniel Club Melanie Harris, Treasurer 12752 Edenbridge Ct.
Jacksonville, Fl. 32223
Have questions? membership@southernbsc.com