MSGDA Membership Form

Midnight Sun Gun Dog Association

2012 MSGDA New Membership Application
& Renewal Membership Form

"Having Fun Training Retrievers"

Midnight Sun Gun Dog Association is dedicated to Alaskan hunters and thier hunting companions.

Membership are renewed yearly in April ($25 - Individual Membership; $35.00 - Family Membership; $50.00 - Contributing Membership; and $100 - Sponsoring Membership). Please fill out the information below, PRINT with your web browser, and MAIL your application with your membership dues to MSGDA. Make checks payable to MSGDA.

Thank you for your support.

New Membership Renewal Membership

First Name Last Name

Mailing Address

City

State

Zip Code

Phone One:	Phone Two:
Email Address:
Fax Number (Optional):

Type of Membership

* Sponsor, Contributing, and Family memberships includes two voting members.

Please make checks payable to MSGDA

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	Hospitality Committee	Education/Training Committee
Fund Raising Committee	Field Events Committee	Publicity Committee

Additional Contribution Thank you!

Total Amount Enclosed


Please print and mail this form with your club dues to:	Midnight Sun Gun Dog Association
	P.O. Box 241291
	Anchorage, Alaska 99524-1291

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©2010, Midnight Sun Gun Dog Association Updated November 21, 2010