Leonberger Club of America Membership Application Name(s):  ________________________________________________________________ Mailing Address:________________________________________________________________ City:  _______________________________________________  State:  _______  Zip:___________ Telephone:  ________________________________________     FAX: _______________________ Email___________________________________________________________ Do you own a Leonberger?    YES     NO           If yes, please list full registered name(s): ________________________________________________________________________________ Have you been or are you now a member of other dog organizations?  YES    NO   If yes, please list: Since Leonbergers are a rare breed, people who have read about them often contact the Club about where they can go to see one.  Do you wish your name and phone number to be given to persons in your area who contact the LCA inquiring about Leos?    YES      NO If yes, do you wish to be listed as a Leonberger owner on the LeoWorld Internet website?    YES   NO Who referred you to the Leonberger Club of America? 1.  _______________________________________   2. ___________________________________ Please use the back of this form (or attach a separate page) to describe how you have heard about the Leonberger dog.  Let us know a little about you, your family and your dog.  We will use this information to introduce you to our membership through the LeoLetter, the quarterly newsletter of the Leonberger Club of America. I agree to abide by the Leonberger Club of America’s Constitution, Bylaws, and Code of Ethics.  I agree to adhere to the Club’s adopted standards regarding the breeding of Leonberger dogs in America.  I further state that I have not had my privileges suspended by any other National or International dog club. Signature:  ____________________________________________  Date:  ____________________ Signature:  ____________________________________________ Date:  ____________________ Annual Membership dues are $35.00 US for single membership (one voting member), $45.00 US for family membership (two voting members).  Dues for Canadian members sending checks in Canadian Dollars are $50.00 for single membership and $60.00 for family membership.  Send this application and your check made payable to “Leonberger Club of America" to: LCA Membership P.O. Box 62353 Colorado Springs, CO  80962-2353 New members are accepted if the present membership raises no objection.  The names of new members will be published in the LeoLetter and, if no protest is filed within 30 days, membership will automatically be granted. Leonberger Club of America Membership Application Name(s):  ________________________________________________________________________ Mailing Address:___________________________________________________________________ City:  _______________________________________________  State:  _______  Zip:___________ Telephone:  ________________________________________     FAX: _______________________ Email:  __________________________________________________________________________ Do you own a Leonberger?    YES     NO           If yes, please list full registered name(s): ________________________________________________________________________________ Have you been or are you now a member of other dog organizations?  YES    NO   If yes, please list: Since Leonbergers are a rare breed, people who have read about them often contact the Club about where they can go to see one.  Do you wish your name and phone number to be given to persons in your area who contact the LCA inquiring about Leos?    YES      NO If yes, do you wish to be listed as a Leonberger owner on the LeoWorld Internet website?    YES   NO Who referred you to the Leonberger Club of America? 1.  _______________________________________   2. ___________________________________ Please use the back of this form (or attach a separate page) to describe how you have heard about the Leonberger dog.  Let us know a little about you, your family and your dog.  We will use this information to introduce you to our membership through the LeoLetter, the quarterly newsletter of the Leonberger Club of America. I agree to abide by the Leonberger Club of America’s Constitution, Bylaws, and Code of Ethics.  I agree to adhere to the Club’s adopted standards regarding the breeding of Leonberger dogs in America.  I further state that I have not had my privileges suspended by any other National or International dog club. Signature:  ____________________________________________  Date:  ____________________ Signature:  ____________________________________________  Date:  ____________________ Annual Membership dues are $35.00 US for single membership (one voting member), $45.00 US for family membership (two voting members).  Dues for Canadian members sending checks in Canadian Dollars are $50.00 for single membership and $60.00 for family membership.  Send this application and your check made payable to “Leonberger Club of America" to: LCA Membership P.O. Box 62353 Colorado Springs, CO  80962-2353 New members are accepted if the present membership raises no objection.  The names of new members will be published in the LeoLetter and, if no protest is filed within 30 days, membership will automatically be granted.