MEMBERSHIP APPLICATION
The Objective and Purpose of the GSPC of NSV shall be to promote cooperation and friendship among the breeders and owners of GSPs; to encourage high standards in breeding, training and showing of GSPs in the field and in the show ring; to keep the breed pure and strive to keep it forever a versatile dual dog.
NAME: _______________________________________________________________________
ADDRESS: ____________________________________________________________________
CITY: ________________________________, STATE: ______ ZIP: _________-_______
E-MAIL: ______________________________________________________________________
PHONE: (evening) ____-____-______ (day) ____-____-______
REFERRED BY: _________________________
If a Family Membership, NAME(s) and Relation of Family members:
_____________________________________________________________________
ANNUAL MEMBERSHIP DUES
Check one:
$15.00 Single Membership (1 vote) $20.00 Family Membership (2 votes)
Check here if including a donation for GSPC of NSV Breed Rescue with your membership.
Amount of donation: $__________
Total Remitted
: $__________Please make your check payable to: GSPC of NSV.
Return to: Questions?
Renee Cooper Contact Renee (Membership Chairman)
GSPC of NSV Membership Chair Tel: (925) 287-1948
1425 Camino Verde E-mail: rjcooper0818@yahoo.com
Walnut Creek, CA 94597
MEMBERSHIP SURVEY
Please take a moment to respond to the following.
Areas of Interest; Check all that apply:
Conformation Shows: Obedience Trials: Agility Trials:
Field Trials: Walking Field Trials: Hunting Tests:
Is there a specific area in which you would like to be involved (e.g. Field Trial or Hunt Test Committee, Gunner, Bird Planter, Raffle Committee, Food Prep., etc.)? Please use the reverse side to respond.
