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Rock Tavern NAVHDA Membership Application
The North American Versatile Hunting Dog Association (NAVHDA) is a nonprofit corporation whose purpose is to foster, promote, and improve the versatile hunting dog breeds in North America; to conserve game by using well trained reliable hunting dogs before and after the shot; and to aid in the prevention of cruelty to animals by discouraging nonselective and uncontrolled breeding, which produces unwanted and uncared for dogs.

Complete this form for new or renewal memberships. You will receive a copy in your email you can print out and include with your payment.

Check Payments only accepted at this time:
Please send your check to:
Rock Tavern NAVHDA
c/o Diane Jecker
870 Union Valley Road
West Milford, NJ 07480
Email address *
Member Name *
Your answer
Renewal or New Member *
Required
NAVHDA International Membership Number (this can be found at http://www.navhda.us/roster.aspx) *
Your answer
Spouse's Name
Your answer
Junior Member(s) - list all
Your answer
Mailing Address (city, state, zip) *
Your answer
Mobile Phone *
Your answer
Membership Dues
The membership dues listed below are for the Rock Tavern Chapter only. Rock Tavern membership runs from January 1st to December 31st. Adults must also be a member of the International organization to be a member of the Rock Tavern Chapter. Junior Members (up to 16 yrs.) are not required to join the International organization and are welcome to participate in our chapter activities. Our dues include a mowing fee to keep the fields conducive for dog training and to also pay for the Liability Insurance provided by NAVHDA.

Please make your check payable to Rock Tavern NAVHDA chapter. Mail check & application to:
Rock Tavern NAVHDA
c/o Diane Jecker
870 Union Valley Road
West Milford, NJ 07480
Check all that are applicable *
Required
Total Due for Membership Fee *
Your answer
Testing & Goals in 2018
Testing a Dog this year? *
Required
Spring Test Level
Fall Test Level
Tell us about you, your dogs and your goals for this year.
Your answer
Finalizing Membership
After submitting your application you will receive a copy in your inbox. You can send a check directly to the Chapter Treasurer with or without the printed application.

Email Michael Cervoni (Chapter VP) with any questions regarding the application macervoni@gmail.com


CHECKS PAYABLE TO: ROCK TAVERN NAVHDA CHAPTER

Rock Tavern NAVHDA
c/o Diane Jecker
870 Union Valley Road
West Milford, NJ 07480
A copy of your responses will be emailed to the address you provided.
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