Texoma Hunting Retriever Club

MEMBERSHIP APPLICATION / RENEWAL FORM

Please complete this form; include a check or money order payable to Texoma HRC and mail to:

Anita Honeycutt

5800 NW 88th St.

Okc, OK 73132

MEMBERSHIP DUES: $25 PER YEAR SINGLE $35 PER YEAR FAMILY

FIRST NAME: LAST NAME:

ADDRESS:

CITY: STATE: ZIP:

HOME PHONE: ( ) EMAIL ADDRESS:

UKC/HRC #

HOW DO YOU WISH TO BE CONTACTED: EMAIL PHONE MAIL

DO YOU WANT YOUR CONTACT INFORMATION ON THE MEMBERSHIP PAGE OF THE TEXOMA HRC WEBSITE? YES NO

(Names will be listed unless otherwise requested)

FAMILY MEMBERS (SPOUSE AND CHILDREN)

, ,

, ,

, ,

, ,

DOGS TITLE & REGISTERED NAME: BREED/COLOR/SEX:

, / / ,

, / / ,

, / / ,

THE UNDERSIGNED DOES AGREE TO ABIDE BY THE CONSTITUTION AND BY-LAWS OF THE TEXOMA HRC AND DOES AGREE TO MAINTAIN THE HIGHEST LEVEL OF SPORTSMANSHIP.

SIGNATURE: DATE: