San Diego Brittany Club
Membership Application


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Name of Member (Dues $30.00)

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Street Address

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City, State, ZIP Code

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Telephone Number (with Area Code)

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E-mail Address (optional)

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Associate Member(s) (Dues $3.00 each Associate)

Optional donation to Brittany Rescue (tax deductible) $__________


$_______________________________
Total Amount Enclosed

 

Please list your particular interests (hunting, shows, pet, etc.):
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Please list special skills, abilities or interests that you could contribute to the club.

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Print this form and mail to the address below.
(Please enclose your check payable to the San Diego Brittany Club
)

San Diego Brittany Club
Susan Kerns
7360 Florey Street
San Diego, CA 92122-2815

Dues: $30.00 per individual Member plus $3.00 per Associate Member

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