Please print and mail:
DWNA Treasurer
Aaron Kenstler
Box 761
Ansted, WV 25812
I wish become a member \ renewal in the Deutscher Wachtelhund North America Club, Inc.: As a member will be obligated to follow the DWNA Charter and Breeding Regulations.
Surname: _________________________ First name: ________________________
Address: __________________________ City : _____________________________
State: ____________________________ Zip Code: ________________
Date of birth:______________________ Occupation:______________________
Home Phone: ______________________ Work Phone: ______________________
Cell Phone: ________________________ E-mail:___________________________
Please, check and sign:
Student, trainee Family membership is applied in the name of the first member Initial and annual membership fee $30.00. Dues are due each January. Resignations must be writing. I agree with the storage of this personal data in the DWNA\VDW records.
Signature: __________________________________ Date: ___________________