Items with * required
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INTERESTS: *
OTHER BREEDS OWNED:
OTHER KENNEL CLUB AND DOG AFFILIATIONS: *
What type of membership are you applying for? (Adult ($22 annually - one vote)Household ($32 annually - two votes)
(includes $2.00 pay pal service fee)
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Have you ever been convicted of any charge involving an animal. *
As a member of the American Portuguese Podengo MedioGrande Club, I agree to abide by the Constitution, By-Laws and rules of the club. Further, I agree to uphold the goals of APPMGC, set an example of good ownership and sportsmanship, and promote the Portuguese Podengo MedioGrande, always keeping the best interests of the dogs at heart.
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By submitting this form electronically, you agree that your signature is valid *
Checks can be made out to Bonnie Hathcock. After submitting your application please forward your check to:
Bonnie Hathcock, APPMGC Treasurer
13786 52nd Ave
Milaca, MN 56353
PAYPAL OPTION SELECT HOUSEHOLD OR SINGLE MEMBERSHIP BELOW
