Renew Membership 2025

Name*
First Last
Additional Name – Household Membership
Please include name of additonal member in a household membership
Address*
Street Address City State ZIP Code
New Address*
Is this a new address?
- Yes
- No
Home Phone
Home Phone
Cell Phone
Cell phone
Email Address
Please enter your email address
Breeds*
Please enter each of your breeds separated by a comma.
OTCPBC Membership Fee
Price:
Total will be calculated based on your selection in Membership Type field PLUS the amount you donate to the Trophy Fund . The Total Field will show the calculated total amount to be charged when you submit.
Membership Year*
- 2025
Year of Memberhship
Membership Type*
Please select your membership type.
- Regular ($40)
- Household ($60)
- Associate ($30)
- Junior ($25)
- Silver ($0)
- Honorary ($0)
Trophy Fund
Please enter amount you wish to donate to the Trophy Fund
Dog Sport Interests
Dog Sport Interests – Please Select All that Apply. CTRL Click to select multiple sports. Or put cursor in field again to select an additional sport
Instructor
Please select areas you would be able to teach. CTRL Click to select multiple areas. Or put cursor in field again to select an additional area.
Committees
Please select the committees on which you would be interested in serving. CTRL Click to select multiple committees. Or put cursor in field again to select an additional committee.
Total
$0.00
CAPTCHA
Are you ready to submit?*
- Yes I am ready
- oops forgot the trophy fund
- No, need to check my data
Email
This field is for validation purposes and should be left unchanged.