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Keystone Dockdogs 2024 Membership
1. Please complete this form with your updated membership information for the 2024 Dockdogs Season.
2. Follow up with PAYMENT to ($50 Family, $30 Individual, FREE Youth)
3. Payment methods:
PayPal
(family and friends) treasurer.kdd@gmail.com
Cash or Check
m
ail to:
Stacey Bittner
27 Peach Lane
Conestoga, PA 17516
* Indicates required question
Email
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Your answer
Last Name
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Your answer
First Name
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Your answer
Date of Birth (human)
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Your answer
Type of Membership*
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Individual ($30; 1 person & up to 4 dogs; $5 for each additional dogs)
Family ($50; Unlimited people & dogs)
Youth (FREE; 7yr-15yr; 1 Youth and 1 dog)
Required
If Family Membership, please list all members of family with Birthdays
Your answer
Special Discounts (Please select one that applies);
Discounts cannot be combined, please choose the higher of the two. If applicable, apply to what you submit for payment.
i.e. Family Membership $50 (Both are 60+) = $45
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Retired/Active Military and Police Discount - $10 off (with ID)
Senior Discount 60 and older - $5 off (with ID)
N/A
Address
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Your answer
Phone number
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Your answer
Dogs Name & Birthday (Please list)
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Your answer
Sending payment via
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Check
PayPal
Cash
Submit
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