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OK-NAVHDA
10711 S Madison St. email: treasurer@oknavhda.com Name:________________________________________________________________ Spouse/Children:________________________________________________________ Address:_______________________________________________________________ Phone(s) Home:______________ Work: _____________ Cell: ______________ Email:__________________________________________________________________ Type of NAVHDA experience, if any:___________________________________________ ________________________________________________________________________ NAVHDA International Membership #___________________________________________ Are you willing to help at chapter functions, if so, what areas would you like to work in? ________________________________________________________________________ Type of Dog(s) Owned:_____________________________________________________ Do you want to restrict your name and information from club publications? Yes[ ] or No [ ] I, (name) __________________________________________________________ of (address) ____________________________________________________________________ hereby request membership in the OK-NAVHDA chapter. As a condition of membership dues in the local chapter and NAVHDA International must be current. As a member, I agree to abide by the bylaws and principles of NAVHDA and all state and local game laws. As an ambassador of this club, I will act with courtesy and respect and adhere to the rules of good sportsmanship. Signed __________________________________ Date ____________________________ Membership: Regular - 1 vote Family - 2 votes Junior (under 18) - 1 vote ________ Payment attached: Cash___________ Check_________________ Membership Dues: Regular $30.00 _______ Family $40.00 _______ Junior $10.00 _______ Remember ANNUAL Membership Privileges expire September 1. |