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Labrador Retriever Club, Inc.
Membership Application

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Regular Membership Application
 
Name:
Nickname:
Date of Birth:
Sex:
Mobile #:
Landline #:
Fax #:
Email:
Web-site:
Residential Place:
Kennel Affix:
 
I apply to become a Regular Member of the Labrador Retriever Club, Inc. (LRCI) and in doing so I expressly, acknowledge the jurisdiction of the LRCI as the SOLE governing body in the Republic of the Philippines in respect to the breed of Labrador Retrievers and I agree to abide by all rules, Regulations, Resolutions, and By-Laws of the LRCI and/or its Board of Directors, which may be in force during the period of my membership.
 
 
________________________                  _____________
Signature                                               Date
 
Please make checks payable to the Labrador Retriever Club, Inc. (P500.00 pesos).  This fee is payable every calendar year. 
 
Enclose check and application form in an envelope and send to:
 
Bernardo A. Concepcion
President, LRCI Philippines
2 Sta. Potenciana St. Brgy. Urdaneta
Makati 1225
Philippines