Midnight Sun Gun Dog Association
MSGDA Membership Application and Renewal Form
"Having Fun Training Retrievers"
Midnight Sun Gun Dog Association is dedicated to Alaskan hunters and thier hunting campanions. Please fill out the infromation below,
PRINT
with your web browser, and
MAIL
your application with your membership dues to MSGDS. Make checks payable to MSGDA. Thank you for your support.
New Membership
Renewal Membership
Mr.
Mrs.
Ms.
First Name
Last Name
Mailing Address
City
State
Alaska
Alabama
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusette
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
N Carolina
N Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
S Carolina
S Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code
Phone One:
Home Phone
Cell Phone
Work Phone
Message Phone
Phone Two:
Home Phone
Cell Phone
Work Phone
Message Phone
Email Address:
Fax Number (Optional):
Type of Membership
$100.00 Sponsor Membership*
$50.00 Contributing Membership*
$35.00 Family Membership*
$25.00 Individual Membership
Please make checks payable to MSGDA
* Sponsor, Contributing, and Family memberships includes two voting members.
Please enter second voting member's: First Name
Last Name
Please indicate any committees you would be willing to work on:
Membership Committee
Annual Banquet & Auction
Education/Training Committee
Hospitality Committee
Fund Raising Committee
Field Events Committee
Publicity Committee
Additional Contribution
Thank you!
Total Amount Enclosed
Please print and mail to:
Midnight Sun Gun Dog Association
P.O. Box 241291
Anchorage, Alaska 99524-1291
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©2006, Midnight Sun Gun Dog Association
Updated January 21, 2007