PRHRC 2017 MEMBERSHIP FORM

Thank you for using our online form to help us stay organized!

After submitting your for online please make ALL Checks Payable to PRHRC to Pacific Rim Hunting Retriever Club (spelled out)and mail your membership cheque to:

PRHRC Treasurer
Sylvia Lawson
1056 2nd St
Courtenay, BC,
V9N 1C4

If you have any questions please e-mail Mary Shillabeer lottadoghair@shaw.ca

PLEASE NOTE: Your online Membership Application/Renewal acceptance is not finalized until we receive your payment. Online submissions will be cancelled if your online payment is not received.

Email address *
Membership type *
First and Last Name *
Your answer
Address *
Street address, City, Postal Code,
Your answer
Phone number *
Please inlcude area code
Your answer
E-mail address *
Please make sure this is correct. If you do not wish to include your e-mail address just write n/a
Your answer
How did you hear about the PRHRC? *
Your answer
How would you like to help out as a volunteer at the hunt tests or working certificate tests? *
Required
Are you interested in becoming a volunteer officer of the club? *
By submitting this form you agree to abide by the Constitution and By-Laws of the Pacific Rim Hunting Retriever Club. I (we) have never been charged or convicted of cruelty to animals. *
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