Membership Application

Name

Address

City State Zip Home Phone Work Phone

E-Mail Address

Membership Individual-$25 Couple-$30

Statement: I apply for membership in Alaska Working Retriever Club, subject to approval of the Board of Directors, and agree to abide by the Constitution and By-laws of Alaska Working Retriever Club and the American Kennel Club.

By checking this box, you agree to the preceding statement. This is equivalent to your written signature.

Date

When you click on the Submit button, you will be taken to a payment screen. You will then have the ability to pay your membership dues with PayPal.

If you are not interested in paying for your membership online or do not wish to create a PayPal account, print this completed form and send a check, payable to AWRC, to:
645 G St. Suite 100, #752
Anchorage, AK 99501

Alaska Working Retriever Club

645 G St, Suite 100, # 752

Anchorage, AK 99501