Missouri Earthdogs Membership Form
 

Memberships are valid for one Jan-Dec calendar year
(Memberships purchased in Oct Nov Dec will be honored for the current and following year)
Check One: __ Family/Couple $20  __ Individual $15   __ Youth (18 or younger)$10 
 

 

Name                                                                                          Today's date:



Address



City


State/Zip


 

Phone                                                                        Phone


 

Email



What breed of earthdog do you own?


 

I would like to receive my newsletter by (check one) : __ snail mail (USPS) or __ email

Make your check payable to: Missouri Earthdogs

Mail form and check to:

Missouri Earthdogs, Inc.
P.O. Box 388
Eureka MO 63025

 

 

Back