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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):
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__Conformation |
__Junior Handling |
__Sanction Match |
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__Obedience |
__Nutrition/Health |
__Newsletter |
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__Field Tests |
__Breed Information |
__Special Events |
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__Field Trials |
__Hunting |
__Membership |
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__Fly ball |
__Training |
__Fund Raising |
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__Agility |
__Breeding |
__Breed Rescue |
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__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: _________________________
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