2027 AWPGA Membership Application Form

ALL MEMBERSHIPS EXPIRE DECEMBER 31ST!

Do not miss an Issue to your Griffonnier Magazine! Submit this Membership Application
along with your Yearly Dues by December 31, 2026.

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.

NEW MEMBERS PLEASE NOTE:

IF YOU ARE A NEW MEMBER a sponsor is required for your membership to be approved.

A sponsor may be your breeder or another member in good standing with AWPGA, etc. If you do not have a sponsor, contact your Regional Representative below or a board member prior to submitting your application.

MEMBERS-ONLY ACCESS IS PROVISIONAL PENDING FULL ACCEPTANCE INTO THE AWPGA.

All new membership applications are considered provisional until formally approved by the AWPGA Board of Directors at the next regularly scheduled monthly Board meeting, in accordance with the AWPGA Constitution and By-Laws. This may take up to 45 days upon receiving the application.

THIS APPLICATION IS FOR

SELECT IF NEW MEMBERSHIP

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 MUST be a member 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
Susan Meadows
rustic12@att.net

Central Regional Representative
Christopher Mattingly
chris@stubbornasskennel.com

Eastern Regional Representative
TBD

Based on the 3 Regions Listed Above, I live in the following Region :

NEW THIS YEAR... Would you prefer ONLY receiving a DIGITAL COPY to the Griffonnier? :

*REQUIRED SPONSOR'S NAME FOR NEW MEMBERS

AWPGA Member or Breeder, or Regional Representative

NEED SPONSOR, PLEASE CONTACT ME.

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

I AM INTERESTED IN THE FOLLOWING VOLUNTEERED POSITIONS:

I AM INTERESTED IN HELPING WITH THE FOLLOWING:

COMMENTS/SUGGESTIONS:

I GIVE AWPGA THE FOLLOWING PERMISSION TO SHARE MY CONTACT INFORMATION TO THE ANNUAL MEMBERSHIP DIRECTORY

IF LIMITED, PLEASE STATE BELOW WHAT INFORMATION IS TO BE WITHHELD FROM THE MEMBER DIRECTORY:

DO NOT SHARE the following information:

Information in this box WILL NOT be listed on the AWPGA Website

Please Select your Membership below.

OPTIONAL DONATIONS ~ $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!

PLEASE SELECT YOUR MEMBERSHIP BELOW:

US MEMBERSHIP$41

TYPE

INTERNATIONAL MEMBERSHIP$55

TYPE

JUNIOR MEMBERSHIP (18 & UNDER) Product Image

JUNIOR MEMBERSHIP (18 & UNDER)$31

MEMBER CLUB$100

AWARDS PROGRAM DONATION$10

Quantity

HEALTH & GENETICS DONATION$10

Quantity

JUNIOR PROGRAM DONATION$10

Quantity

RESCUE DONATION$10

Quantity

Total $0.00

Credit Card

E- Signature

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:

Constitution and Bylaws of the AWPGA
AWPGA Code of Ethics
AWPGA Member Contact Information & Email Use Policy
AKC Code of Sportsmanship and Civility

*Parental Signature required for all Junior Membership Applications

I HAVE READ & AGREE TO THE FOLLOWING: