DUSKY HUNTING RETRIEVER CLUB
Membership Form 2008
Name____________________________________________________________________________
Spouse_________________________Children___________________________________________
Address__________________________________________________________________________
City________________________________________State ___________ Zip___________________
Phone ____________________________ Email___________________________________________
New membership _____ or renewal _____
Membership type: Single ($40) _____ Family _____ ($50)
Tell us a little about yourself:
Dog breed(s) presently owned_________________________________________________________
Club activities of interest (please mark all that apply):
• I am interested in:
Training _____
Competition _____
Judging _____
• I am willing to assist with:
Hunt tests: Marshalling _____ Throwing birds _____ General assistance _____
Club training days _____
Dog demonstrations _____
Fund raising/raffles _____
• I am willing to serve as a member:
Hunt Test Committee _____
Board/Club Officer _____
Please make check or money order payable to Dusky HRC and mail to:
Tracy Calhoun, DHRC Secretary, P.O. Box 3419, Albany, OR 97321