Apply Online | Nova Scotia Duck Tolling Retriever Club of Canada (NSDTRCC)

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Secure Application Form

Become a Member

Annual Membership & Breeder Directory Application / Renewal

January 7th, 2022
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Specify application type

Is this an application or renewal?*

New Member Application

Membership Renewal

Membership being applied for

Membership type*

Canada - Individual ($25)

Canada - Family ($40)

US - Individual ($30)

US - Family ($40)

Overseas - All ($35)

Junior Handler ($20)

Total

How can we reach you?

Member Information:*

First family member:*

First_Name-1*

Last_Name-1*

Second family member:*

First-Name-2*

Last_Name-2*

Email*

Phone

Address Information

Address details:*

Your Address*

Do you want to be in the Breeder's Directory?

Breeder's Directory Listing*

The Breeder’s Directory is paid advertising. The NSDTR Club of Canada recognizes those listed as members in good standing but neither endorses nor guarantees their services.

Yes ($20)

Kennel Details

Tell us about your Kennel*

Kennel Name*

Kennel Website

Kennel Email

Total

Membership Directory

Do you want to be in the membership list?*

The club produces an annual membership roster including members' contact information. This information is made available to members only, and is sent via email and linked from the "Members Only" section of the club website.

Yes

Do you own a Toller?

Yes

Names of Tollers currently owned

Names of Tollers Currently Owned

Please list the name(s) below.
If you have more than 1, click the plus button to add another.

Are you having issues adding pet names?

I do not see the plus button to add more pet names

Pet Names

One pet per line

Would you like to donate?

All donations are appreciated. If you would like to donate please fill in the amount you'd like to donate in the appropriate box to the right.

Membership Dues Amt

Price: $ 1.00 CAD

Breeder Directory Listing Amt

Price: $ 1.00 CAD

Health Genetics Amt

Price:

Toller Rescue Amt

Price:

Dobirstein Amt

Price:

Scholarship Amt

Price:

Club Dedicated Amt

Price: $ 1.00 CAD

Health & Genetics
Funds

Health Genetics Qty

Please enter a number from 1 to 9999.

Toller Rescue
Funds

Toller Rescue Qty

Please enter a number from 1 to 9999.

Dobirstein
Funds

Dobirstein Qty

Please enter a number from 1 to 9999.

Scholarship
Funds

Sponsorship Qty

Please enter a number from 1 to 9999.

Total

Almost done!

Total

Please verify*

I have read, understand, and consent to the following:

I/We wish to apply for membership to the Nova Scotia Duck Tolling Retriever Club of Canada in the category indicated above. I/We agree to abide by the Constitution and By-Laws of the NSDTR Club of Canada and to honour its Code of Ethics.

Verification