03/17/08

Send Application to:

Hunting Retriever Club Inc.

c/o United Kennel Club, Inc.

100 East Kilgore Road

Kalamazoo, Michigan 49002

Membership type I want:  Individual ($25.00)___________ Family ($30.00)_____________

            Foreign/Canadian: Individual ($30.00)___________ Family ($35.00)_____________

Name  _______________________________________________________________

Address _____________________________________________________________

City _________________________________  State________ Zip  ______________

Telephone (H) ______________________   (W) ______________________

Are you a member of any retriever club? Yes_____  No______

Retriever Club Names and address ______________________________________

______________________________________________________________________

Family Club names and address _________________________________________

Family members name(s): _______________________________________________

______________________________________________________________________

Would you be interested in forming an HRC sanctioned club in your area?  YES ______ NO_____