Southbound Greater Swiss Mountain Dog Club
Our Front Porch
Club Information/Membership
Future & Past Events
Cotton Classic 2022
Cotton Classic 2021
Southbound Breeders
Southbound Swissys
Rainbow Bridge/Memorials
Untitled
Application for Membership/Renewal
Instructions: Please complete all required fields and click "submit" at the bottom of the form then pay dues using links on the Club Information page or by mailing a check to the Membership Chair: 615 Penrod Place NW, Lilburn, GA 30047.
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Indicates required field
Name
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First
Last
Additional Family Member First and Last Name
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Additional Family Member First and Last Name
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Additional Family Member First and Last Name
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Street Address
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City
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State
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Zip Code
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Email
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Website
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May we include your name and e-mail address in the member listing on this website?
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Yes
No
Form Purpose
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New Member Application
Membership Renewal
Member Profile Update
Membership Type
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Regular
Family
Junior
Associate
Dues Payment Method
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PayPal (use links on Club Info page)
Check (mail to Membership Chair)
Profile Update Only
Are you a GSMD breeder?
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Yes
No
If yes, desire listing on Southbound website?
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Yes
No
Primary Phone
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Other Phone
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GSMD 1 Registered Name (No Titles)
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GSMD 2 Registered Name
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GSMD 3 Registered Name
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GSMD 4 Registered Name
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GSMD 5 Registered Name
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GSMD 6 Registered Name
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GSMD 7 Registered Name
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Activities/events you would like to see in the Southbound footprint:
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Draft Trials
Pack Hikes
Weight Pulls
Draft Clinics
Obedience/Rally Clinics
Handling Clinics
Agility Clinics
Herding Clinics/Trials
Fun Days/Picnics
Call Name
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Call Name
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Call Name
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Call Name
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Call Name
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Call Name
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Call Name
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Date of Birth
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Date of Birth
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Date of Birth
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Date of Birth
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Date of Birth
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Date of Birth
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Date of Birth
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Year Joined Southbound (if known)
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Comments/Additional Responses
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Information submitted on this form will only be used for club purposes.
Submit