| Right click on application and click print |
| Oakridge Pointing Dog club P.O. Box 136 Curllsville, Pa 16221 ===================================================== Date___________ Name___________________________Home phone____________ Address_______________________________________________ City_____________________ State____________ Zip__________ Occupation_______________________Work Phone____________ Email Address_____________________ Birthdate_____________Married Yes or No Spouses name__________________________ Breeds owned___________________________ Other Clubs Affiliations____________________________________ Sponsor__________________Sponsor Signature________________ Applicants Signature______________________Date_____________ Dues Must Accompany Application. $30 per year Membership runs January to January Single___________ Spousal___________ Application Approved Yes Or No Date_______________ Questions should be addressed to President Bernie Gray 724-794-2217 |