NEWGDC Membership Application

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Northeastern Washington Gun Dog Club

Membership Application

  I ________________________________________ am applying for membership into the Northeastern Washington Gun Dog Club (NEWGDC).  All Members have the same rights and privileges. A membership begins March 1st and ends on February 28 th of each year.   

Please fill out the form below and send to:
Tom Blakeney

2508 Heine Rd.

Chewelah, WA 99109.

Name: _______________________________________________________

 

Address:______________________________________________________

 

Phone: _______________________ Cell: ___________________________

 

Email: _______________________________________________________

 

Spouse: ______________________________________________________

 

Children’s names: _________________________________Age: ________

 

Dogs:________________________________________________________

 

Training Interests______________________________________________

Previous Experience: ___________________________________________

 

Health Concerns/Conditions: _____________________________________

 

Disabilities: ___________________________________________________

 

Fee:  25.00 per member: March 1st thru Feb 28th   Year ________________

 

Family membership: 35.00 per yr.

 

I ______________________________________understand the type of membership I am applying/booking for.

 

Sign: ________________________________________________

Date: _________________

 

Approved (NEWGDC) __________________________________

Print (NEWGDC) ______________________________________