Memapl Rev Sj Nov2008
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German Wirehaired Pointer Club of Northern California APPLICATION FOR MEMBERSHIP: Individual Membership
(1 vote)
$25.00
Family Membership
(2 adult votes)
$35.00
TOTAL AMOUNT ENCLOSED
$____________
APPLICANT (S) NAME: Last_________________________________________________First____________________________________ Last_________________________________________________First____________________________________ Address: ________________________________________________________________________________________ City: ___________________________________________________State____________________ Zip_____________ Telephone: Home ____________________________________Cell: _______________________________________ E-mail: __________________________________________________________________________________________
Areas of Interest: Hunting______ Agility_______
Companion________ Field Trials________ Rally_____________
Conformation_______ NAVHDA_________ Tracking__________
Hunt Tests_______ Obedience_______ Other__________________
I/We, the undersigned, hereby apply for membership in the GERMAN WIREHAIRED POINTER CLUB OF NORTHERN CALIFORNIA (GWPC of NC). Signature: ___________________________________________________________________Date:________________ Signature: ___________________________________________________________________Date:________________ (Note: 2 signatures required for family membership) Member Sponsor: _________________________________________________________________________________ Member Sponsor: _________________________________________________________________________________ SEND COMPLETED APPLICATION WITH PAYMENT TO: (Please make checks payable to: GWPC of NC) Silke Alberts, Treasurer 901 Alameda St., Vallejo, CA 94590 (707) 644-8068 Email: [email protected]
Gwpcnc\memaplcn 10/08
(1 vote)
$25.00
Family Membership
(2 adult votes)
$35.00
TOTAL AMOUNT ENCLOSED
$____________
APPLICANT (S) NAME: Last_________________________________________________First____________________________________ Last_________________________________________________First____________________________________ Address: ________________________________________________________________________________________ City: ___________________________________________________State____________________ Zip_____________ Telephone: Home ____________________________________Cell: _______________________________________ E-mail: __________________________________________________________________________________________
Areas of Interest: Hunting______ Agility_______
Companion________ Field Trials________ Rally_____________
Conformation_______ NAVHDA_________ Tracking__________
Hunt Tests_______ Obedience_______ Other__________________
I/We, the undersigned, hereby apply for membership in the GERMAN WIREHAIRED POINTER CLUB OF NORTHERN CALIFORNIA (GWPC of NC). Signature: ___________________________________________________________________Date:________________ Signature: ___________________________________________________________________Date:________________ (Note: 2 signatures required for family membership) Member Sponsor: _________________________________________________________________________________ Member Sponsor: _________________________________________________________________________________ SEND COMPLETED APPLICATION WITH PAYMENT TO: (Please make checks payable to: GWPC of NC) Silke Alberts, Treasurer 901 Alameda St., Vallejo, CA 94590 (707) 644-8068 Email: [email protected]
Gwpcnc\memaplcn 10/08
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