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Join the Club
Becoming a member of the club is quick and easy. Just fill out the form below and send in your payment. As a member you will get information about upcoming events, discounts at training days, and voting privileges.
Member Information
First Name:
Last Name:
Address:
Address1:
City:
State:
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
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NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Zip:
Email:
Phone:
Membership Details
Membership Type:
Family
Individual
Price:
$35.00
Spouse's Name:
Dog's Information
UKCTitle:
SHR
HR
HRCH
GRHRCH
UH
HRCH UH
GRHRCH UH
Registered Name:
AKC Titles:
JH
SH
MH
Date of Birth:
Month:
1
2
3
4
5
6
7
8
9
10
11
12
Day:
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year:
Call Name:
Breed:
Labrador Retriever
Chesapeake Bay Retriever
Golden Retriever
Flat Coat Retriever
Novia Scotia Duck-Tolling Retriever
Irish Water Spaniel
Boykin Spaniel
English Springer Spaniel
American Water Spaniel
Labradoodle
Poodle
Spione Italiano
Other
Sex:
Male
Female
UKC Number:
AKC Number:
Goals / Interest
Will Help With
Club Involvement
Run Hunt Test
Better Trained Hunting Dog
Teach the Basics
Club Demonstrations
Cook / Pass Out Food
General Worker Bee
Gunning
Loading Wingers
Marshaling
Obtain / Provide Raffle Donations
Promotional Events
Club Officer
Board Member
Hunt Test Committee Member
Other Committees
Hunt Test Judge
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