HRC, INC. - MEMBERSHIP APPLICATION   

Individual (USA) Individual (Foreign) Family (USA) Family (Foreign)
1 yr. $25 / 2 yr. $50  1 yr. $30 / 2 yr. $60 1 yr. $30 / 2 yr. $60 1 yr. $35 / 2 yr. $70

Please charge a 1 yr ____ 2 yr ____ membership to my

VISA or MC #__________________________________________________ Amt.: _________________

Signature: ______________________________________________ Exp. Date __________________

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NAME:_____________________________________________________________________

OTHER FAMILY MEMBERS:___________________________________________________

 ADDRESS:_________________________________________________________________

 CITY:________________________ STATE: _____ ZIP: __________ COUNTRY_________

Home (____) _______________ Work (___) ______________ E-Mail_________________

 ARE YOU A MEMBER OF ANY RETRIEVER CLUB? NO ______ YES ________

 (If yes, Name___________________________________________________________)

 WOULD YOU BE INTERESTED IN FORMING AN HRC SANCTIONED CLUB IN YOUR AREA? _____

 Call (269) 343-9020 and charge your membership to your credit card OR  print & and Fax to (269) 343-7037  or return this application and your check made payable to HRC (U. S. Funds only) to:

 

HUNTING RETRIEVER CLUB, INC.

 

MEMBERSHIP DEPARTMENT

100 EAST KILGORE ROAD, KALAMAZOO, MI 49002-5584

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