Angaben für Züchter Maximilian und Annabell Mustermann

Berner-Garde Database Personal Information Submission Form (Ausfüllbeispiel – deutsche Umlaute ä, ö, ü, ß erlaubt)
This form is for updating your personal information stored in the Berner-Garde database. This information is kept in case a health researcher or Berner-Garde
Operator would want to contact you for questions regarding an entry in the database.
For BMDCA members, this information is also used to maintain the membership directory as well as generate mailing labels for the Alpenhorn, Bulletin and other
club mailings.
Please note that it is Berner-Garde policy to never supply anyone or organization with a list of names, phone numbers or email addresses of persons in the
Berner-Garde database other than researchers or health studies approved by Berner-Garde or the BMDCA.
Enter your information here then click the "Submit Data" button to send the information to Berner-Garde.
Angaben für Züchter Maximilian und Annabell Mustermann
My Personal Information
BG People ID:
Last Name:
First Name:
Address:
City:
State / Prov:
Postal Code:
Phone:
Email:
Personal Web Site:
Kennel Name:
BG Mailing List:
Display Option:
Bernese Mountain Dog clubs I am a
member of:
Additional Comments:
Dr.vet. Mustermann
Maximilian
Hundegasse 27
Allerweltsdorf
Optionally populate the form with your existing information
Middle Initial:
Additional Names: Annabell
Nur für USA
99999
0049 (0) 99999 23 45
[email protected]
www.meine-berner.de
Von Mustermanns BernerSennen
Country:
Fax:
AKC Number:
Germany
0049 (0) 99999 23 46
(your own web site if you have one)
FCI 999/88
Signup is closed for our 2009 mailing
Note that these options allow you to control the display of your people data to general
database users. Operators or researchers will still be able to see all your info and contact you.
DCBS – Deutscher Club für Berner Sennenhunde e.V.
By clicking the "Submit Data" button below I am confirming that I am the person listed above. Furthermore, I am attesting that the data is correct and accurate to
the best of my knowledge and that I voluntarily submit the above data for entry into the Berner-Garde database.
I authorize release in accordance with Berner-Garde policies and I authorize a Berner-Garde Operator to contact me for data validation purposes.
Please direct any questions or comments about this form to [email protected].