MEMBERSHIP RENEWAL

NAME: _____________________________________________________________

ADDRESS: __________________________________________________________

TELEPHONE: ______________________ E-MAIL: ___________________________

May we send you notices by e-mail? _____ List e-mail on our membership list? ____

Please check type of renewal:

Single 1 year $20 _____ Single 3 years $50 _____

Family 1 year $30 _____ Family 3 years $75 _____

Junior (ages 10-17) $10 ____

How many German Shorthaired Pointers do you currently own? _______________

Additional information, comments, suggestions, etc. _________________________

___________________________________________________________________

Please return to: