SBCA Membership Renewal (Test page) SBCA Membership RenewalStep 1 of 250%2027 SBCA Membership RenewalName (1):Name (2):(Only those names, no more than two members residing in the same household, on this form are eligible for family membership)Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzechiaDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussian FederationRwandaSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTürkiyeTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Home PhoneHome FaxCell Phone (1)Cell Phone( 2)Email (1) Email (2) Website Kennel NameYour last Saint Fancier Issue will be the Winter issue, if the 2027 renewal is not received by March 1, 2027. Do you have for sale or provide for a fee: Pups Stud Adults Dues: (NEW RATES) US $55 single/$60 Family, all international (Includes Canada) $55 single/$60 Family (US Dollars). Dues Amount (Select Appropriate)US SIngle $55.00US Family $60.00International/Canada Single $55.00International/Canada Family $60.00If you pay via PayPal, y8ou still need to complete and send in the completed Membership Renewal Form. As a member you will be able to access our SBCA website to view the Saint Fancier and the yearly Annual and Future Membership Directory. To help save on printing and postage costs, please indicate by checking the boxes if you DO NOT WANT any of the publications listed:Untitled Annual Future DirectoryI would like to purchase: Saint Bernard University Illustrated Commentary 2024 SBCA Directory - (Extra Copy)Total A Contribution to the SBCA-CF requires a separate check payable to: Saint Bernard Club of America Charitable FoundationI wish to contribute to the Saint Bernard Club of America Charitable Foundation *”The Saint Bernard Club of America Charitable Foundation is a 501(c) 3 organization and contributions made to SBCA-CF may be tax deductible on your Federal income tax. Consult your tax advisor for individual circumstances and record keeping requirements.”Health Initiative Contribution Education Development Fund Contribution Junior Fund Contribution General Fund Contribution In Honor of:In Memory of:Tribute of Thank You to:Requires a separate check payable to AKC/CHF - Saint Bernard Donor Advised FundI wish to contribute to the CHF Donor Advised FundContribution Please send the updated forms and check(s) for all applicable dues, contributions & purchases to: Monica Costa/Member Records Chair Saint Bernard Club of America 13089 McKimber Trail Indianola, IA 50125Contact Information for Monica Costa (Member Records Chair): email – ramblewoodsaintbernards@gmail.com Phone Number – 515-537-3266*Make checks or money orders in U.S. funds, payable to the SBCA or as otherwise noted. If you would like to pay by credit card, please contact me and I will have our Treasurer send you an invoice. Or you can pay on the SBCA website using your PayPal account. To pay by PayPal, please contact Monica Costa (see email and phone number above,) or you can go onto the SBCA website to pay by PayPal. We are now able to use credit cards. You will need to contact the records member chair or our treasurer to have the treasurer send you a credit card bill. You can also set up a PayPal account and use that on the Website (click on the “SBCA Shop” tab on the blue bar.) If you need help doing this, Bob Carter would be glad to walk anyone through the process. You can contact Bob at: bob_carter@comcast.net × Download QR
