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Primary Email:
*
Member's primary email address
Name:
*
The full name(s) of the member, for mailing, e.g. "Sam Marston and Janet McCarthy".
First Name(s):
The first/given name(s) of the member(s), for greeting. E.g. "Sam and Janet".
Company:
Company name, if any.
Address:
*
Member's postal address, for mailing.
City:
*
Postal city, for mailing.
State/Province:
*
Postal abbreviation for state or province.
Zip/Postal Code:
*
ZIP or Postal Code
Primary Phone:
*
Primary contact phone number, with area code, 10 digits.
Secondary Phone (optional):
Secondary phone number, with area code, 10 digits.
Secondary email (optional):
Secondary email address, if any.
Dog(s) Name(s):
Name(s) of the member's dog(s).
Notes:
Notes
Please indicate the percentage of your time you spend at each park.
Blue Dog:
Dr. Jose Rizal:
Genesee:
Golden Gardens:
Magnuson:
Northacres:
Westcrest:
Woodland:
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Enter the characters shown in the image.
Business Listing (for Business members only):
Please enter your business listing exactly as you would like it to appear on the COLA website. 250 characters maximum.
Receive membership notices via email
I want to receive membership expiration notices and other important messages related to my COLA membership via email.
Active
Active member