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To facilitate renewal of your SSDCA Inc. Membership, please complete and submit the form below.  If you prefer to mail in your renewal, you can print out this renewal form:  Renewalform.jpg (20174 bytes)  

Printed forms should be sent with payment to:

SSDCA Inc Membership Coordinator            
c/o Olga Twombly
43242 Lecroy Circle
Leesburg, VA 20176 
 

To renew your SSDCA Membership online, please complete the form below.  You can use the link to PayPal to submit payment, or send a check or money order to the address above.  Renewal dues are $25 per year.  Renewal will be acknowledged when payment has been received.  THANK YOU for your continuing support of the SSDCA Inc.

ALL fields are required.  If you need assistance, please email SSDCAMembers@aol.com

Name:

SSDCA Membership Number:             

Street Address:              

City:             

State or Province:              

Zip Code:                       Country: 

Contact Phone:              

Email Address:              

Please indicate number of years renewing:               Renewal is $25 per year

Payment will be made by:  (Checking PayPal will open a new browser window)

    PayPal   payments should be sent to SSDCABoard@aol.com

        or

    Check or Money Order

Your renewal will be processed when payment is received.


Copyright © 2008 Shiloh Shepherd Dog Club of America Inc - Members
Last modified: June 22, 2008

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