Membership Application
| New____ Re-newal____ Please Mail To: Mark Cote, 58Harrison Avenue, Gardiner, ME 04345 Email cote30ish@aol.comTel. 207-582-1570 Make checks payable in U.S. Funds to Sebasticook Chapter of NAVHDA Choose the membership that best fits your needs: All memberships include our newsletter ___ $20.00 Individual Membership ___ $30.00 Family Membership (two adults living at the same address.) ___ $10.00 Junior Membership (Up to 18 years) ___$300.00 Life Membership Name________________________________________________________________ Street________________________________________________________________ City_________________________State________________ Zip Code___________ Phone (_____)___________________E-mail___________________________ How did you hear about us?_____________________________________ Please tell us about yourself and your involvement with versatile hunting dogs. I understand that I must be a member of NAVHDA International for my Sebasticook membership to be valid. ___________________________________________ Signed, |
Membership Application:
Copyright © 2008 Sebasticook Chapter. All rights reserved.
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