APPLICATION FOR MEMBERSHIP
Membership Desired: Single: $20.00________ Family: $30.00_______
(If application for membership is made between July 1st and December 31st, the membership fee will be one half of the yearly fee).
Please make check payable to the VCGNY.
Name: __________________________________Spouse (Other): _______________________________
City: _________________ State: _______ Zip (+4): _______ + _____
Kennel Name (if any): ____________________________
E-Mail Address: _________________________________
Home Phone: (______) ____________ Business Phone: (______) __________
Memberships in other dog clubs:
Vizslas now owned, including AKC numbers:
I am interested in: Show___ Obedience___ Field Trial___Hunting Test___Agility___
I hereby apply for membership in the Vizsla Club of Greater New York, Inc. and agree to support the Constitution and By-Laws of the
Club and the Constitution, By-Laws and Rules of the AKC.
Sponsor Member’s Signature
Mail to Membership Chairperson:
7 Nemic Lane
Whippany, NJ 07981