MEMBERSHIP RENEWAL

NAME: _____________________________________________________________


ADDRESS: __________________________________________________________


TELEPHONE: ______________________ E-MAIL: ___________________________

Would you like to receive our newsletter - Shorthair Tales by postal mail: ______
or
Would you like to receive our newsletter - Shorthair Tales by 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. _________________________

__________________________________________________________________

Thank you

Please return to:

Pat Russell
KGSP
2 Mill Road
Hancock, NH 03449

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