Membership Application 2018-2019

Name of first and second Adult name if applicable


Address


City, State, Zip


Home Phone

​Cell Phone


Email Address                                                                                      providing an email address gives permission for the club to correspond with you via email for club information, surveys, events etc. It will not be shared.
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Name (s)


Date


Current Memberhips expire on June 30, 2018. Dues is payable by July 1, 2018 and Exp June 30, 2019
Membership in the Vizsla Club of New England entitles the member to a voice in Club policy and a vote in all Club Elections.

Membership Dues per year:  $35 per Household
                                                 $30 Single


PLEASE PAY ONLINE BY CLICKING ABOVE THEN FINALIZE YOUR APPLICATION WITH SUBMIT BUTTON BELOW.



After payment please finish application please continue filling out questionnaire below and SUBMIT

Please consider making an additional donation to our Vizsla Rescue



What are your primary interests in Vizslas:





Would you have interest in volunteering to work or assist with Club Events?


Are you currently breeding Vizslas?  



Are you currently a Member of the Vizsla Club of America?
 If interested contact VCAWEB.ORG
I hereby submit my renewal dues for the Vizsla club of Central New England and agree to support the Constitution and By-Laws of the club; to encourage high standards of breeding, training, and show of Vizslas; and promote the welfare of the Vizsla Breed
I hereby apply for membership in the Vizsla Club of Central New Englandand agree to support the Constitution and By-Laws of the club; to encourage high standards of breeding, training, and show of Vizslas; and promote the welfare of the Vizsla Breed
By entering your name in the box below you agree to the above chosen statement.
Renewal
New Membership
YesNo
YesNo
text
Show
Field Trials
Pet
Hunting
Obedience
Agility
Rescue
Therapy
Hunt Test
Yes
No
Maybe