The German Shorthaired Pointer Club Of Indiana

Membership Application

__ New Membership

__Renewal

 Family Membership $25

Name_________________________________________ 

Spouse________________________________________

Youth Members __________________Age_________ 

____________________Age_________ 

____________________Age_________ 

___________________Age_________ 

Address________________________________________________________________ 

City________________________State______________________Zip_______________ 

Telephone Number__(       )________________________________________________ 

Email Address  (please print clearly)_________________________________________ 

Number of GSP’s you own_________________________________________________

Please circle the areas of interest that you enjoy with your dogs

* Hunt Test                                * Hunting

* Field Trails                             * Family pet

* Conformation Events             * Dock Jumping

* Obedience                              * Breeder

* Agility                                    * Tracking

* Other________________________________ 

GSPC INDIANA Newsletters:

__ Please send my Newsletters as an e-mail attachment ( This option will save the club the     majority of your annual dues fee in saved printing & postage cost , & be used for other worthwhile club functions while keeping dues cost low) 

__I prefer to have my Newsletters mailed in the traditional manner ( check this

option if you do not have access to e-mail) 

Signature of Applicant___________________________________________Date______________

Make Checks Payable To:

GSPC  INDIANA

P.O. Box 1

Charlottesville IN 46117