|
|
VIZSLA CLUB OF METRO MEMBERSHIP APPLICATION |
|
Name |
|||
|
Kennel Name (if
any) |
|||
|
Address |
|||
|
City |
State |
Zip |
|
|
Home Phone |
|||
|
Occupation |
Work Phone |
||
|
E-mail |
|||
Primarily interested in the Vizsla for:
____
Companionship ____ Conformation ____ Breeding
____ Hunting ____ Obedience ____ Agility ____ Other
Please list any dog
clubs of which you are an active member, including any offices you now
hold and how long
you have been a member:
|
|
|
|
|
|
Are you, or have you been, a member
of the Vizsla Club of America (VCA)? Y___ N
I/we agree to abide
by the constitution and code of ethics of the Vizsla Club of Metro Atlanta
(VCMA), the
Vizsla Club of
|
Signed |
|
Date |
|
|
|
Signed |
|
Date |
|
|
|
Sponsor #1 |
|
Date |
|
|
|
Sponsor #2 |
|
Date |
|
|
Membership
Fees (check applicable box)
|
|
Single Membership
(GA residents only) (1vote) |
$15.00 |
|
|
Family Membership
(GA residents only) (2 votes) |
$20.00 |
|
|
Associate Membership (out-of-state or GA resident) (no vote) |
$10.00 |
Make Checks Payable to: Vizsla Club of Metro
Mail completed application to Membership Chairperson:
Justeen Oess