2025 AWPGA Membership Application Form

2025 AWPGA Membership Application Form

Renew your Membership by Submitting this Application Form by January 31, 2025
ALL MEMBERSHIPS EXPIRE DECEMBER 31ST!

Do not miss an Issue to your Griffonnier Magazine! Submit this Membership Application along with your Yearly Dues by January 31, 2025.

If you are a new member, a sponsor is required for your membership to be approved. A sponsor may be your breeder in good standing with AWPGA, another member of AWPGA, etc. If you do not have a sponsor, once your application has been received, you will be contacted by your regional representative. Your application will be provisional pending approval by the board during the following monthly board meeting.
THIS APPLICATION IS FOR*
MEMBERSHIP*

New (Sponsor Required)*RenewalJunior (New Member)*Junior Renewal
All Renewal Applications to the AWPGA are now past due. Please submit this application along with your Sponsor. If a sponsor is needed, your Regional Representative will be happy to assist you with your application. We apologize for any inconvenience this may have caused.

Thank you for your consideration to the AWPGA!
*New Members must have a Sponsor in order for their Application to be approved. A sponsor may be a member or breeder in good-standing with the AWPGA. A sponsor can also be your Regional Representative. Contact your Representative PRIOR to submitting this Application Form.
Western Regional Representative
Meagan Withrow
awpgawestrep@gmail.com
Central Regional Representative
Tania Warnock
awpgacentralrep@gmail.com
Eastern Regional Representative
Melanie Howes
awpgaeastrep@gmail.com
Any New Member Application without Sponsorship will be denied until resolved.
Based on the 3 Regions Listed Above, I live in the following Region :

WESTCENTRALEASTOTHER
*REQUIRED SPONSOR'S NAME FOR NEW MEMBERS*
AWPGA Member or Breeder, or Regional Representative
NEED SPONSOR, PLEASE CONTACT ME.

Sponsor Needed
PRIMARY NAME*

First NameLast Name
IF HOUSEHOLD MEMBERSHIP, 2ND MEMBER NAME

First NameLast Name
PRIMARY E-MAIL ADDRESS*
2ND MEMBER E-MAIL ADDRESS
PRIMARY CELL PHONE*

Area CodePhone Number
2ND MEMBER CELL PHONE

Area CodePhone Number
PRIMARY HOME PHONE

Area CodePhone Number
2ND MEMBER HOME PHONE

Area CodePhone Number
PRIMARY ADDRESS*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
2ND MEMBER ADDRESS (if different than primary)

Street Address

Street Address Line 2

CityState

Zip CodeCountry
PRIMARY MEMBER OCCUPATION
2ND MEMBER OCCUPATION
WHAT ARE YOUR INTERESTS*

FIELDCONFORMATIONOBEDIENCETRACKINGAGILITYOther
I AM INTERESTED IN THE FOLLOWING VOLUNTEERED POSITIONS:

COMMUNICATIONSEDUCATIONEVENTFINANCEJUNIOR PROGRAMRESCUEOther
I AM INTERESTED IN HELPING WITH THE FOLLOWING:

SPECIALTY COMMITTEE IN YOUR REGIONFIELD TESTS IN YOUR AREAPRESENTER FOR JUDGE'S EDUCATIONRESCUEJUNIOR PROGRAMWEBSITEWAYS & MEANSMAKE SOMETHING/DONATE FOR SPECIALTY AUCTIONHEALTH & GENETICSGRIFFONNIER STAFFWRITE AN ARTICLE FOR THE GRIFFONNIEROther
NOTE TO BREEDERS

If you are a breeder that would like to be placed on the Breeder List found on the AWGPA Website (and you have been a member in good standing with the AWPGA for a minimum of 3 years to your applying to the Breeder List Program) you are welcome to find out more information by clicking on the “Guidelines and Applications” tab followed by the Breeder Information Section.
By submitting this information, I have Read & Agree to the Following:
COMMENTS/SUGGESTIONS:
I GIVE AWPGA THE FOLLOWING PERMISSION TO SHARE MY CONTACT INFORMATION TO THE ANNUAL MEMBERSHIP DIRECTORY*
IF LIMITED, PLEASE STATE YOUR REQUESTS:
DO NOT SHARE the following information:
NEW MEMBERS PLEASE NOTE: ACCESS TO THE MEMBER'S SECTION IS PROVISIONAL PENDING FULL ACCEPTANCE INTO MEMBERSHIP OF THE AWPGA PER OUR CONSTITUTION AND BY-LAWS

BOARD APPROVAL MAY TAKE UP TO 30 DAYS AFTER SUBMISSION OF APPLICATION.

Membership Includes:
- AWPGA Individual Membership for one person (1 vote at member meetings)
- AWPGA Household Membership for two people (2 votes at member meetings)
- Junior Membership for one person, under 18 years of age (no voting privilege at member meetings)
- 1 year subscription to the Griffonnier magazine, published quarterly
Payable in US Currency Only

Although all Memberships expire on December 31st, new members joining Oct-Dec are given membership for the upcoming year.
Please Select your Membership below. $10 increment donations are available by simply changing the quantity on your selected donation. All donations are greatly appreciated.

Thank you for your generous support!

MY PRODUCTS:*

US MEMBERSHIP$36.00

TYPE

CANADIAN OR INTERNATIONAL MEMBERSHIP$48.00

TYPE

JUNIOR MEMBERSHIP (18 & UNDER)$27.00

DONATION$10.00

FUND TYPEQuantity
Item subtotal:$0.00

Total $0.00

Payment Methods

Credit Card

Apple Pay

I would like to apply/renew my membership with the American Wirehaired Pointing Griffon Association. By submitting this form, I certify that I am 18 years of age* or older and agree to abide by:
- The Constitution and Bylaws of the AWPGA
- The AWPGA Code of Ethics
*Parental Signature required for all Junior Membership Applications
E- Signature

Clear
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