EmailMeForm
Membership Renewal
Insructions: Please complete this form - be sure to hit submit at the end. Then mail payment to Janice Easterbrook, 24 Main Bayway, Toms River NJ 08753
Your renewal is not considered accepted until payment has been received.
General Information:
Fee:
Individual Membership (one voting member) $30.00
Family Membership (two voting members) $35.00
Voting members must be over 18 years of age
The Objectives of the Club are:
• To educate handlers, owners, and the general public and to encourage and promote quality in the breeding and field testing of pure-bred hunting retrievers and to do all possible to bring their natural abilities to perfection.
• To do all in its power to protect and advance the interest of pure-bred hunting retrievers through education and by encouraging sportsmanlike participation at field events
• To conduct training sessions and sanctioned and licensed hunting retriever events under the rules and policies of the Club, UKC, NAHRA and the AKC.
• To promote and educate the use of hunting retrievers as a conservation tool for the sound management and use of all of our wildlife.
Today's Date
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Membership
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Individual - 30.00
Family - 35.00
Voting Member Name
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First
Last
Voting Member Name (second member if choosing Family Plan)
First
Last
Address (Fill in address below, type info in space above requested info ).
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Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Aruba
Bahamas
Barbados
Belize
Canada
Cayman Islands
Cook Islands
Costa Rica
Cuba
Dominica
Dominican Republic
El Salvador
Grenada
Guatemala
Haiti
Honduras
Jamaica
Mexico
Netherlands Antilles
Nicaragua
Panama
Puerto Rico
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Trinidad and Tobago
United States
Argentina
Bolivia
Brazil
Chile
Colombia
Ecuador
Guyana
Paraguay
Peru
Suriname
Uruguay
Venezuela
Albania
Andorra
Armenia
Austria
Azerbaijan
Belarus
Belgium
Bosnia and Herzegovina
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Italy
Kosovo
Latvia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Malta
Moldova
Monaco
Montenegro
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Ukraine
United Kingdom
Vatican City
Afghanistan
Bahrain
Bangladesh
Bhutan
Brunei Darussalam
Myanmar
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China
East Timor
Hong Kong
India
Indonesia
Iran
Iraq
Israel
Japan
Jordan
Kazakhstan
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Lebanon
Malaysia
Maldives
Mongolia
Nepal
Oman
Pakistan
Palestine
Philippines
Qatar
Russia
Saudi Arabia
Singapore
Sri Lanka
Syria
Taiwan
Tajikistan
Thailand
Turkey
Turkmenistan
United Arab Emirates
Uzbekistan
Vietnam
Yemen
Australia
Fiji
Kiribati
Marshall Islands
Micronesia
Nauru
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Democratic Republic of the Congo
Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Gibraltar
Guinea
Guinea-Bissau
Cote d'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country / Region
Home phone
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Cell phone
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Cell phone (second member if choosing Family Plan)
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Email
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Email (second member if choosing Family Plan)
Are you a NAHRA member?
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Yes
No
If yes, please provide NAHRA membership number
Do you have a valid NJ hunting license?
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Yes
No
Members are required to work one full day at one test during the year. Please indicate which test you will be available to work this year.
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Spring AKC test
Spring NAHRA test
Fall NAHRA test
Either
Please list your dog's name(s), breed, titles