Michigan Gun Dog Club - Membership Application

MICHIGAN GUN DOG CLUB
MEMBERSHIP APPLICATION

Please mail application to: M.G.D.C c/o Cathy Griffin,
Membership Chairperson
319 Gale St. Morrice Mi. 48857
Membership year from January 1st to December 31st

Type: Family, $25.00 ____ Single $15.00 ____
Juniors N/C (separate app.) Paid: Cash ___ Check ___ Ck#________

Name(s) ________________________________________________
Address ________________________________________________
City _______________________ State ___________ Zip ________
Phone: Home, ________________ Cell, ____________________
Work, __________________
E-Mail ___________________________________.
Website ( if applicable) _________________________________
Kennel name _____________________________________________
Is it OK to make your information available to all members?
Yes ____ No ____
If no what information would you like left off? __________________
________________________________________________________
________________________________________________________

What areas do you exhibit your dogs in? Conformation ____
Weight pull ____ Obedience ____ Tracking ____ Agility ____
Field Trial _____ Dock Diving ____ Other _______________________

Breeds of Dogs _____________________________________________
__________________________________________________________
list dogs names and titles._____________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________

Are you interested in becoming a working member? Yes ___ No ___
If yes in what areas?_________________________________________
_________________________________________ _________________

Do you have any special talents, skills or knowledge that would benefit
the club IE: working shows, training etc.__________________________
___________________________________________________________

How did you hear about our club? _______________________________
___________________________________________________________

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I agree to abide by the by-laws and the code of ethics of the MGDC
Application approved _____ Date ________

Signature (s) ___________________________________________
Application denied ______     Date ________

                      ____________________________________________
Reason denied ________________________

Sponsor:      ____________________________________________