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German Shorthaired Pointer Club of Manitoba

Application for Membership

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Application for Membership

Application for Membership

Name: ______________________________

Address: _____________________________

 ___________________________________

City: _______________________________

Province: ___________ P.C. ____________

Phone: _______________________

Fax: _________________________

Email: ____________________________

__ check here to receive your newsletter by email attachment

Applicant Information:

CKC member (yes/no): _______

If yes, membership number: ______________

Competitive, General Breed, and Club Interests (check all that apply):

__Conformation

__Junior Handling

__Sanction Match

__Obedience

__Nutrition/Health

__Newsletter

__Field Tests

__Breed Information

__Special Events

__Field Trials

__Hunting

__Membership

__Fly ball

__Training

__Fund Raising

__Agility

__Breeding

__Breed Rescue

__Scent Hurdling

__Grooming

DUES - January to December - $15.00

** due January 31st**

I agree to abide by the Constitution, Bylaws, and Code of Ethics of the German Shorthaired Pointer Club of Manitoba.

 Signature: _____________________

Date: _________________________

Please print the application form and mail to:
49 Confederation Bay, Brandon, MB R7B 2P7
Attn: GSP Membership