
SNAKE
RIVER SPORTSMAN AND GUN DOG
ASSOCIATION
MEMBERSHIP APPLICATION
Application for FAMILY MEMBERSHIP for January 1, 2010 through December 31, 2010.
Annual Dues are $30 per family.
Check if this is a: ______ New Membership _______ Continuing Membership
LAST NAME(s): _____________________________________________________
First names: _____________________________________________________
_____________________________________________________
_____________________________________________________
_____________________________________________________
Dog Name(s): _____________________________________________________
Dog Breed(s): _____________________________________________________
Mailing address: _____________________________________________________
_____________________________________________________
_____________________________________________________
Telephone: (days) _________________________________________________
(evenings) _________________________________________________
Email address: _____________________________________________________
Send
Completed Applications
Along with your check for $30
Payable to SRSGDA
To: Jeremy Lessman, SRSGDA Treasurer
130 NW Dillon St.
Pullman, WA 99163