P.O. Box 309

St. Stephens Church

December 26, 2011

Potomac Hound Club dues are due and payable of January 1, 2013. Due to the lateness of this notice, dues will be accepted through February 29, 2012. The amount of the dues is $35.00 for a single individual and $50.00 for a couple (defined as two persons residing in the same household).

In order to update the club’s records, please complete the form below and return it to me (Dr. Robert Smith) with your check at the address above.

Member Name(s) _________________________________________

Address________________________________________________

City________________State____________________Zip_______________

Home Phone_______________Office__________________Cell________________

Email______________________________________________

Amount Enclosed____________________________