Michigan
Versatile Hunting Dog Federation
2011 Membership
_________________________________________________________________________________________
Last Name First Name
_________________________________________________________________________________________
Address
_________________________________________________________________________________________
City, State and Zip Code
_________________________________________________________________________________________
E-mail Address
_________________________________________________________________________________________
Telephone Number
_________________________________________________________________________________________
Breed Number of Dogs
Make check payable to: Michigan VHDF Membership Fees expire on: January 1, 2011
Mail To: ________ Single Membership - $25.00
Cindy Petkwitz
18554 Mack Ave. ________ Family Membership - $35.00
Grosse Pointe Farms, MI 48236
Family Membership includes:
Spouse & children under 18 years old
List family member names below:
Versatile Hunting Dog Federation
________________________________________ Membership Number: _____________
________________________________________
________________________________________