Berner-Garde Database Personal Information Submission Form
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 with a list of names, phone numbers or email addresses of persons in the Berner-Garde database.
Enter your information here then click the "Submit Data" button to send the information to Berner-Garde.
My Personal Information
Last Name:  Middle Initial: 
First Name:  Additional Names: 
Address: 
(Use for additional foreign address info if needed)
City:  State / Prov: 
Postal Code:  Country: 
Phone:  Fax: 
Email: 
Personal Web Site:   (your own web site if you have one)
Kennel Name:  AKC Number: 
Privacy Flag:  Note that checking this box will prevent display of your address, phone and email information to public
"guest" logon's to the database. Operators or researchers will still be able to see your info and contact you.


Bernese Mountain Dog   
clubs I am a member of: 

  Additional Comments: 
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 filemanager@bernergarde.org.