Yankee Golden Retriever Club Membership Application & Subscription Form

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Please complete this online form, then print the result. Sign and mail it with your check made payable to Yankee Golden Retriever Club to:

Carolyn Zagami - YGRC Membership Chair
406 Williams Street
Marlboro, MA 01752
Phone (508) 460-6423 before 8 pm

check one

Membership, $30.00 annual dues, includes a subscription to the YGRC newsletter, Finish Lines
Subscription, $30.00, a one year subscription to the YGRC newsletter, Finish Lines

Name      
Address      
City   State
      Zip Code
Home Phone   Work Phone
FAX/E-Mail/Other      


Please check all that apply: Breeder    Exhibitor     Pet Owner

Check your areas of interest:

Bench Obedience Field Trials Hunting Tests
Breeding Agility Tracking  
Other


Would you be willing to work or help out with Yankee sponsored events?     Yes     No
Would you be willing to work on a committee in your area of interest?     Yes     No

For membership the following information must be completed and signed by the applicant:

I hereby agree to abide by the Constitution and Bylaws of Yankee Golden Retriever
Club, Inc. and those of the American Kennel Club, Inc.

____________________________   ____________________________
Signature of Applicant   Date
     
____________________________   ____________________________
Member/Sponsor   Member/Sponsor

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