DOWN EAST HUNTING RETRIEVER CLUB
MEMBERSHIP APPLICATION
DATE: ______________________
NAME: ____________________________________________________________
ADDRESS: _________________________________________________________
_________________________________________________________
_________________________________________________________
HOME PHONE NUMBER: ____________________________
BUSINESS PHONE NUMBER: _________________________
EMAIL: ____________________________________________________________
DO YOU HAVE ACCESS TO THE INTERNET? YES _ NO _
DEHRC Secretary for 2007:
Darlene Beutel 3040 St Delight Church Rd New Bern, NC 28562 252-637-2088
DEHRC dues: $30 per year or $50 per year for husband, wife and children under 18.