NBSA Membership Application

Name *
Name of additional household applicant
Name of additional household applicant
Address *
What is your involvement with the Bergamasco breed? *
What activities do you enjoy with your Bergamasco?
I am interested in participating in the following NBSA projects
Membership desired *
My dog is/are registered with *
If elected to membership, I will abide by the Constitution, Bylaws, and the Code of Ethics of the National Bergamasco Sheepdog Alliance and the rules and regulations of the United Kennel Club *
Date of application *
Date of application

Membership dues can be made payable to NBSA.  Please mail to National Bergamasco Sheepdog Alliance, PO Box 83, Oakland, MD 21550.
Dues can also be submitted via Paypal (friends & family) to bergamascosheepdog@gmail.com