Membership Application Form

Membership Application Form

Please fill in this form if you wish to join the GWPA
Your details
Your full name

First NameLast Name
Address

Street Address

Town

CityCounty

PostcodeCountry
Email
example@example.com
Contact phone number
Application for membership must be proposed by one existing fully paid-up, member and seconded by another existing fully paid-up, member.
Proposer
Seconder
Select your membership
prevnext( X )
Single Membership
For one person only

£10.00 Quantity

Joint/Family Membership
For members of the same household

£15.00 Quantity

Total

£0.00
If you selected joint membership, please give us the names of the other people under the membership:
Name

First NameLast Name
Name

First NameLast Name
About you
Tell us what you're most interested in
Would you be interested in helping out at GWPA events?
What breed of dog do you own?
Your agreement
- I agree to pay the above amount and understand my membership will run until 31 December.
- I 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.
- I understand that I am not a member of the GWPA until my membership has been approved.
Your consent
Should be Empty:

Your details