POTOMAC HOUND CLUB

Membership Application (page 1)  

Name :______________________________________________Occupation:_________________________

Address :_________________________________________________________________________________

Phone Number(s):________________________________________________________________________

Email Address :_____________________________________________FAX Number:________________

Breed :___________________________________Years in the Sport of Purebred Dogs:____________

Interest(s):_______________________________________________________________________________

Current Activity in Dogs (e.g., breeder, exhibitor, handler, judge):__________________________

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List other dog clubs (including parent clubs) in which you are/were a member, the dates, and offices/positions held:

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Briefly describe your activities and accomplishments in the sport of purebred dogs:

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