Belgian Borzoi Club

For Borzoi amateurs, owners and breeders

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Become a member of the Belgian Borzoi Club
Membership Form

Name

Firstname

Date of birth (*) DD MM YYYY (ex. 01121985)

Street

N°.

Zip code

Place

Country

Phone

Mobile phone

E-mail

Number of Borzois

Language

Select

30 € Member

10 € Family-Member

10 € Supplement foreign members (shipping)

Account : IBAN : BE03 7310 5317 6684 - BIC : KREDBEBB

By sending this form I declare to pay the membership fee to become a member of the Belgian Borzoi Club.

I declare not to belong to a club which is not affiliated to the URCSH of F.C.I. organisations

Date : 21-11-2024

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