APPLICATION FOR MEMBERSHIP
Date: ______________
Membership Desired: Single: $20.00________ Family: $30.00_______
(If application for membership is made between July 1st and December 31st, the membership fee will be one half of the yearly fee).
Please make check payable to the VCGNY.
Name: __________________________________Spouse (Other): _______________________________
Address: _________________________________________________
City: _________________ State: _______ Zip (+4): _______ + _____
Kennel Name (if any): ____________________________
E-Mail Address: _________________________________
Home Phone: (______) ____________ Business Phone: (______) __________
Memberships in other dog clubs:
__________________________________________________
Vizslas now owned, including AKC numbers:
________________________________________
________________________________________
I am interested in: Show___ Obedience___ Field Trial___Hunting Test___Agility___
I hereby apply for membership in the Vizsla Club of Greater New York, Inc. and agree to support the Constitution and By-Laws of the
Club and the Constitution, By-Laws and Rules of the AKC.
____________________________________
Applicant’s Signature
_______________________________________
Sponsor Member’s Signature
Mail to Membership Chairperson:
Baiba Norton
166 Reserve Street
Boonton, NJ 07005-1140
laeliakada@aol.com
Date: ______________
Membership Desired: Single: $20.00________ Family: $30.00_______
(If application for membership is made between July 1st and December 31st, the membership fee will be one half of the yearly fee).
Please make check payable to the VCGNY.
Name: __________________________________Spouse (Other): _______________________________
Address: _________________________________________________
City: _________________ State: _______ Zip (+4): _______ + _____
Kennel Name (if any): ____________________________
E-Mail Address: _________________________________
Home Phone: (______) ____________ Business Phone: (______) __________
Memberships in other dog clubs:
__________________________________________________
Vizslas now owned, including AKC numbers:
________________________________________
________________________________________
I am interested in: Show___ Obedience___ Field Trial___Hunting Test___Agility___
I hereby apply for membership in the Vizsla Club of Greater New York, Inc. and agree to support the Constitution and By-Laws of the
Club and the Constitution, By-Laws and Rules of the AKC.
____________________________________
Applicant’s Signature
_______________________________________
Sponsor Member’s Signature
Mail to Membership Chairperson:
Baiba Norton
166 Reserve Street
Boonton, NJ 07005-1140
laeliakada@aol.com
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