Belgian d'Uccle and Booted Bantam Club
Home Page
Breed Information
Belgian d'Uccles
Booted Bantams
Club Officers
Meet Information
Meet Reports
Meet Report Form
Upcoming Meets
Meet Request Form
Breeder Listing
become a member
Membership
>
Membership Form
Awards Program
Points - 2024
Points - 2023
Points - 2022
Points - 2021
Points - 2020
Junior Exhibitors
Link Page
Merchandise
PHOTO GALLERY
Member Login
Club Members Area Login
District Directors Area Login
Please complete the membership form below. Once submitted, you will be directed to enter your payment information.
Membership Entry Form
Membership is for USA Members. At this time we cannot open membership to anyone outside the United States.
*
Indicates required field
Name
*
First
Last
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Email
*
Phone Number
*
Membership Options
New Member / Renewal
*
New Membership
Renewal
Membership Type
*
Individual 1 Year ($15.00 + $1.50 Service Fee)
Individual 3 Years ($35.00 + $2.50 Service Fee
Junior 1 Year ($10.00 + $1.00 Service Fee)
Farm/Business 1 Year ($20.00 + $2.00 Service Fee)
Farm/Business 3 Year ($50.00 + $3.50 Service Fee
Junior Membership
Junior Birthday (MM/DD/YYYY)
*
Do you want your information added to the Online Breeder List. Street addresses are not included.
*
Yes
No
Breeds and Varieties Raised
*
Join
Home Page
Breed Information
Belgian d'Uccles
Booted Bantams
Club Officers
Meet Information
Meet Reports
Meet Report Form
Upcoming Meets
Meet Request Form
Breeder Listing
become a member
Membership
>
Membership Form
Awards Program
Points - 2024
Points - 2023
Points - 2022
Points - 2021
Points - 2020
Junior Exhibitors
Link Page
Merchandise
PHOTO GALLERY
Member Login
Club Members Area Login
District Directors Area Login