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Minnesota Heartland English Springer Spaniel Club
(MHESSC)
ORGANIZED IN 1991 TO PROMOTE
ENGLISH SPRINGER SPANIELS
MEMBERSHIP APPLICATION
FOR THE YEAR __________
ANNUAL DUES: Individual $20 Family $30
I/We apply for membership in the MHESSC, and agree to abide by its By-Laws. I/We also agree to support and abide by the Constitution and By-Laws of the English Springer Spaniel Field Trial Association, all other participant breed organizations and the rules of the AKC. I understand that membership and the payment of dues for one year, entitles member(s) to one vote on club matters when appropriate. (Must be present to vote.) Non-member spouses may participate in club activities other than voting.
NAME (S) LAST_____________________FIRST___________________MI _____
LAST_____________________FIRST___________________MI _____
ADDRESS____________________________________________________
CITY_____________________STATE_________ZIP_______________
PHONE_________________________
KENNEL NAME (IF ANY)___________________________
E-MAIL ADDRESS_________________________________________________
NAMES & AGES OF SPRINGERS_____________________________________
________________________________________________________________
INTERESTS______________________________________________________
(Ex. Field Trials, Hunting, Hunt Tests etc.)
SIGNATURE OF FIRST APPLICANT________________________________________
SIGNATURE OF SECOND APPLICANT________________________________________
SIGNATURE OF FIRST SPONSOR__________________________________________
SIGNATURE OF SECOND SPONSOR__________________________________________
Sponsors names will be provided by the Club’s Membership Chair if a current club member did not refer the applicant.
RETURN TO: Nadine Kohn, Membership Chair, 803 Elliot Ave N, Glencoe MN 55336 or Mary Kemper, Treasurer, 4168 Eaken Ave SE, Delano MN 55328
Membership Chair E-Mail
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