Membership Renewal Form

Lowchen Club of America Membership Renewal
You may only renew for the membership type you currently have. In order to move membership types, you must go through the approval process as outlined by the LCA Constitution and Bylaws. . Family membership types are only available to two Full
members who have both been approved to join the LCA.

If you wish to add a family member to your household they must apply as a new applicant.
Membership Types - Please be aware that ballots for voting will be sent to the address provided. Bylions and Headlions will be sent via email. Bylions and Headlions will be provided by paper mail for members who do not have email addresses. *
Categories:All

All

Optional Items
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Full Individual Membership$35.00
For one adult in a household

Full Family Membership Renewal$50.00
For 2 adults in a household.

Associate Member$25.00
One adult in a household. No voting rights or running for office.

Junior Membership$0.01
For Lowchen enthusiasts under age 18. No voting or holding office.

Foreign Membership$50.00
For adults outside of USA. No voting or holding office.

Optional Items

Donation to LCA Rescue (Optional)$1.00

Quantity
Item subtotal:$0.00

Donate to the LCA Trophy Fund (Optional)$1.00

Quantity

Donate to the LCA Health Fund (Optional)$1.00

Quantity

Breeder Referral Listing 1 Year (optional)$20.00

Total $0.00
For Donations, please increase the "Quantity" box to the amount you wish to donate.

For example, if you wish to donate $50 change the quantity to 50.
Breeder Referral Listing Info. Please provide your name, Kennel name, email address, website address, area of the country and/or phone number you would like publicly listed. Note: Members must be in good standing for at least two consecutive years in order to be listed on the breeder referral page.
Primary Member Name*

First NameLast Name
Secondary member Name for Full Family Memberships

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
E-mail*
Please indicate which parts of your contact information you would like to share in the membership roster. Leaving an option blank will mean that item(s) will not be shared. Your name will appear on the roster if all are left blank.

AddressPhoneSecondary PhoneEmail
Date

MonthDayYear
Date
By clicking SUBMIT, I verify that I am the Primary applicant named on this application. I agree to abide by all code of ethics and The Lowchen Club of America rules.
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Lowchen Club of America Membership Renewal