Club Member Application
I hereby apply for membership in the Wirehaired Vizsla Club of North America, and agree to encourage high standards in the breeding, training and showing of purebred Wirehaired Vizslas and to promote the general welfare of the Wirehaired Vizsla Breed. I understand I must be at least eighteen years of age to be eligible to apply for membership. Anyone who does not abide by the standards we have established will have their membership revoked and no refund will be made of membership dues.
Please print out this form and mail in with membership dues of
North American Membership $10.00/year US currency $17.00/2 years
International Membership $13.00 US currency $22.00/2 years
to
Kayla and Joe Nagle
1894 22nd Avenue
Moline, IL 61265
Name(s) ______________________________________________________________________
Address ______________________________________________________________________
City ___________________________State________________ Zip Code_______
Telephone: _____________________________Fax_______________________
Email Address:______________________________________________________________________
Member of NAVHDA (which chapter)___________________________________________________
Dog(s) Registered Name _______________________________________________________________
Who was the breeder?__________________________________________________________________
I currently own _______ Wirehaired Vizslas _____Female(s)_____Male(s)
I hope to own one some day __________________________________________________________
I would like more information about the Wirehaired Vizsla please mail me more information
Mail information to
Name(s) ______________________________________________________________
Address ______________________________________________________________
City ____________________State________________ Zip Code_______
Telephone: __________________________________Fax_______________________
Email Address: __________________________________________________________
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