Membership Form

CENTRAL MICHIGAN HUNTING RETRIEVER CLUB
MEMBERSHIP APPLICATION and ANNUAL RENEWAL FORM

OUR LOCAL Central Michigan Hunting Retriever Club dues run from February 1st through January 31st.  New members who join after August 1st  will have their dues covered the following year as well.

NAME________________________________________________________________________

ADDRESS____________________________________________________________________

CITY, STATE, ZIP______________________________________________________________

PHONE NUMBER______________________________________________________________

E – MAIL ADDRESS____________________________________________________________

OTHER FAMILY MEMBERS ___________________________________________
(If applicable)

Dues are $25 per year for an individual or family membership.

My National HRC membership # is _____________    and expires on ___________.

Please make check payable to CMHRC.

Send to:
Shawn Getty

1446 Commerce Pines Dr.

Commerce Township, MI. 48390

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REMINDER – When you belong to a local HRC club you must also belong to the National HRC Inc.

It will be your responsibility to join the National HRC Inc.

NAME________________________________________________________________________

ADDRESS____________________________________________________________________

CITY, STATE, ZIP______________________________________________________________

PHONE NUMBER______________________________________________________________

Please choose a membership type.

___ $25 Individual National dues. ___ $30 Family National dues.

My National HRC membership # is ____________   and expires on ___________.

Please make check payable to Hunting Retriever Club Inc.

Send to:
Hunting Retriever Club Inc.
100 E. Kilgore Rd.
Kalamazoo, MI 49002