Membership Application

Willamette Valley Chapter of NAVHDA
Membership Application
Name
First Name:
Last Name:
Address
Street:
City:
State:
Zip Code:
Contact Information
Home Phone:
Cell Phone:
E_mail:
Breed of Dog(s) Currently Owned
BI - Bracco Italiano
BA - Braque D'auvergne
BB - Braque Du Bourbonnais
BF - Braque Francais
BS - Brittany
CF - Cesky Fousek
DP - Drentse Partridge
ES - English Setter
FP - French Spanial
GL - German Longhaired Pointer
GS - German Shorthaired Pointer
GW - German Wirehaired Pointer
GO - Gorden Setter
IR - Irish Red & White Setter
IS - Irish Setter
LM - Large Musterlander
PT - Pointer
PO - Portuguese Pointer
Dog-related interests:
Experience with training/handling the versatile breeds:
Comments:
Web Address: www.wvnavhda.com
PP -Pudelpointer
SH - Slovensky Hrubosrsty Stavac
SM - Small Musterlander
SP - Spinone
ST - Stichelhaar
VI - Vizsula
WM - Weimaraner
GR - Wirehaired Pointing Griffon
WV - Wirehaired Vizsula
Willamette Valley Chapter of NAVHDA
Membership Application
Membership is $20 annually
Send to:
WVNAVHDA
21220 NW Wapinitia Ln
Portland, OR 97229
President: Howard Meyer
Vice President: John Tacke
Treasurer: Mark Carpenter
Secretary: Vicki Meyer
Training Coordinator: Ron Garrison
Test Secretary: Nancy Breuner
Web Address: www.wvnavhda.com