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  Join The Mile High Weimaraner Club

Application for Membership to the Mile High Weimaraner Club 2008

First Name __________________________ Last Name_____________________________

Address___________________________________ Box/ Apt __________

City ______________________ State __________ Zip__________

Phone _____________________ Work Phone (optional) ____________________

Email Address _________________________________________________

Would you prefer to receive our newsletter, "Ghost Talk", via mail _____ or email _____?

 

Single Membership $15 (one vote) ________ or

Family Membership $20 (two votes) ________

Donation to the local rescue fund (optional): ________

Have you or any member of your family ever been convicted of animal abuse/cruelty? If so explain.

What areas are your interest in? Check as many as applicable.

Pet _______ Confirmation _______ Field Trial _______ Hunt Test________

Obedience ________ Agility ________ Other (list) _____________________

 

Please PRINT this page and send it and a check payable to MHWC:

MHWC

P.O. Box 1220

Brighton, CO 80602