East Coast Quality
Breeders Association

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Membership Application

aaa We know there are a lot of questions in this form - there is no right or wrong answer. Please completely answer ALL questions as it helps us to get a better idea of the best way in which we can help you.

First Name
Last Name
Kennel Name (if applicable)
Birthday
Year:
Address
City
State
Zip
Telephone
Cell Phone
Fax
Email Address

Website Address

Where would you like your listing to appear on our website?
Main breed of dog that you raise
# of Females / # of Males

Second breed of dog that you raise
# of Females / # of Males

Third breed of dog that you raise
# of Females / # of Males

How many litters do you raise in one year?
How long have you been raising dogs?
How would you rate your level of expertise in breeding dogs?
How do you usually find new homes for your puppies?
How much do you pay, on average, for advertising each month?
Are your dogs registered?
Do you micro chip your puppies before they leave your premises?
Do you micro chip your puppies yourself or does your Veterinarian?
Do you immunize your puppies yourself or does your Veterinarian?
Have you ever had a kennel inspection?
If Yes by whom?

If Yes when? (MM/YYYY)

How are your adult dogs housed?
How are your puppies housed?
Please rate your main reasons from #1 to #4 for joining ECQBA as a member - please use #1 as your main reason
Information on legislation

Networking with other breeders

Education

Finding homes for your puppies

Are you interested in becoming a voluntary board member for ECQBA?
Are you interested in aiding us to stay on top of current and proposed legislation?
Level of Yearly Membership Required - see descriptions below
How would you like to pay for your membership?

Level of memberships available:

Bronze Membership - $35 per year:
Includes access to the website and forums and the ability to post and answer questions from other members and the public.
Includes a listing in the online member directory.
Monthly email newsletter with educational information and articles, as well as news from our sponsors.
Litter advertisements are available to bronze members at $5 per advertisement.

Silver Membership - $45 per year:
Includes all Bronze level benefits plus
the ability to post three free litter advertisements during a calendar year.
Listing in online breeder directory under main breed of dog (we classify your main breed by the number of adult females in your possession.

Gold Membership - $55 per year:
Includes all Silver level benefits plus listing in online breeder directory for two breeds of dog and six free litter advertisements per calendar year.

Platinum Membership - $65 per year:
Includes all Gold level benefits plus listing in online breeder directory for up to three breeds and eight free litter advertisements per calendar year.