(Application for Membership)

To the Board of Directors: I apply for membership in the Vizsla Club of Northern New Jersey, Inc., and agree to support the Constitution and By-Laws of the Club:  To encourage high standards in Breeding, Training and Competing with Vizslas; and to promote the welfare of the Vizsla breed.

NAME:___________________________________________________________________________

STREET:_________________________________________________________________________

CITY/STATE:_______________________________________________ZIP:__________________

TELEPHONE:________________________E-MAIL:_____________________________________

I NOW OWN___________VIZSLAS___________MALES__________FEMALES 

SINGLE MEMBERSHIP IS $20.00 FAMILY MEMBERSHIP IS $25.00

Please find enclosed:  $__________for membership for one year.

Membership year: ___________

APPLICANT’S SIGNATURE:  _________________________________DATE:  ________________

Name of Club Sponsor:  _____________________________________________

Please Send To: 

                                Trish Horvath

                                Membership Chair

                                871 Grove Street

                                Rahway, New Jersey 07065

                                (732-388-0357)