Membership Application Form

Membership Application Form

Please fill out the form below to apply for membership. Ensure all required fields are completed accurately.
Full Name*

First NameLast Name
Email Address*
example@example.com
Phone Number*

Area CodePhone Number
Residential Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Membership Type*
select Single/Joint, family
Breed(s)*
GWP,HWV,GSP etc
Interests*

Working TestsField TrialsShowingFun/companion eventsTraining daysAgilityHealth SeminarsOther

Require Proposer/seconder?
Name of Proposer
Name of Seconder:
Type a question

Would you like to meet local members?Prepared to help out at Association events?Prepared to act as a "friend" to a new owner?
I/We agree to pay the subscription (£10/15) by BACS for the current year ending 31st Dec.

I/We declare that all information given is correct to the best of my/our knowledge and agree to abide by the rules and code of ethics of the German Wirehaired Pointer Association.
Signature*

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