Oregon Basset Hound Rescue Membership Application Form
Name(s): *
Your answer
Kennel Name:
(if any)
Your answer
Address: *
Your answer
City: *
Your answer
State: *
Your answer
Zip: *
Your answer
Telephone: *
Your answer
Work: *
Your answer
Cell: *
Your answer
Email Address: *
Your answer
Type of Membership: *
(Check One)
Do you own a basset hound now or have you ever? *
How long have you owned a Basset Hound? *
Your answer
Has AKC, the Humane Society or related agency for animal welfare, ever cited you? *
If yes, please explain:
Your answer
Are you interested in: *
(Check all that apply)
Required
Would you be interested in helping with any of the following committees?
(Check all that apply)
I hereby agree to follow the constitution, bylaws, and guidelines of Oregon Basset Hound Rescue, Inc. I duly state that, to the best of my knowledge, I have completed this application thruthfully.
Application's Signature *
Your answer
Date: *
Your answer
Sponsor date of first reading: *
Your answer
Sponsor date of last reading: *
Your answer
Submit
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