ALASKA HOUND GROUP ASSOCIATION

PO BOX 4367

PALMER, AK  99645

ANNUAL MEMBERSHIP DUES                                                                                     November 1, 2009

Due by January 1, 2010

NAME(s):____________________________________

                    ___________________________________

ADDRESS: ___________________________________

                    ___________________________________

E-MAIL:_____________________________________             PHONE: __________________________

It’s that time of year again when we thank all of our members for their hard work and participation in the Hound Group.  Your continued support is greatly appreciated and ensures the success of the club.  Please take a moment to complete and/or update this form and return it with the appropriate amount of membership dues.  For your convenience, we’ve included a trophy donation option on this form.

_________$20.00 – Individual membership

_________$30.00 – Family membership

_________$12.00 – Associate membership

_________$12.00 – Junior membership

_________$20.00 – Associate Family membership

_________YES, I would like to make a donation to the club’s Trophy Fund

                                I am enclosing $____________________as my contribution.