FRC Membership Form

FRC 2013 Membership Application

(If you don't wish to pay online using the form below and Paypal, please DO NOT use this form. Instead, download the PDF version, fill it out and send it in with payment by mail).

Membership year is October 1, 2012 to September 30, 2013

*Required fields.

*First Name:		*Last Name:
Additional Names (if family membership)
Street Address:		Mailing Address:
City:		State:
Phone 1:		Zip:
Alt Phone:		*E-mail:
		Would you like to receive occasional updates and news from FRC? Yes No
Breeds Currently Owned:		Retriever Interest:
		Hunting
		Obedience
		Field Trials
		Hunt Tests
		Other
Have you trained dogs before? Yes No Have you hunted your dogs before? Yes No Have you ever run a dog in a field event? Yes No		Committees you are willing to work on:
		Field Trials
		Hunt Tests
		Picnic Tests
		Publicity/Fundraising
		Training Classes
		Other
*MEMBERSHIP DUES: $30 single $40 family
The FRC membership year is October 1 through September 30. Membership dues are to be submitted with this application. Renewals are due on the first day of October each year. * BY CHECKING THIS BOX, I AGREE TO ABIDE BY THE ARTICLES AND BY-LAWS OF THE FAIRBANKS RETRIEVER CLUB AND THE RULES AND REGULATIONS OF THE AMERICAN KENNEL CLUB.

(Clicking on this button submits your application and brings you to a page where you can pay your dues online. If you don't wish to pay online, you will need to print this form or download the PDF version, fill it out and send it in with payment by mail.)

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