Ohio Valley Irish Red & White Setter Club

Founded March  2011

 Membership Application: Household:  Individual:   Junior:  Associate/Newsletter:         

Membership fee  $5.00 per year single or $10.00 family (same household).

Name:________________________________________________________________ Address:_______________________________________________________________ ______________________________________________________________________

Phone: __________________________E-mail:________________________________

Kennel Name :__________________________________________________________

Can all of the information above be published on the Membership List?_ Yes No (What do you not want  published?) 

Dogs: ________________________________________________________________

Breed(s) owned_________________________________________________________

Breed(s) previously owned ________________________________________________

 Occupation: _________________________ Occupation:________________________ Family/Partnership list both       Activities: Show: Hunting: Obedience: Agility: Rally: Any Other:_________________________________________________________________

Willing to serve on Committee : yes no  

                                                          Signature:___________________________________ Date: __________________

The applicants agree to abide by the club constitution and bylaws and the rules of the American Kennel Club.

Signature: ___________________________________ Date: ___________________

If Family/Partnership, both individuals need to sign.

Mail to: OVIRWSC   Jodi Lamp  708 Mary St.   Belpre, OH 45714   Treasure

Club Constitution and by-laws can be found on club website.

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