UNITED HUNGARIAN WIRE-HAIRED VIZSLA ASSOCIATION

The U.S. National Parent Club *UKC provisional

Membership Application

Membership types and Fees

Single Membership (US/*International): $20.00 USD

Family Membership (US/*International): : $30.00 USD

Junior Membership (single membership US/*International for those under 18): $10.00 USD

Membership runs from January 1st - December 31st.

Please use the the below on-line membership application. Once submitted you will receive an e-mail from HWVizsla@yahoo.com or phone call with further instructions.

Thank you

All required fields (marked with an *) must be completed or the application will not submit.

*Type of membership:
Single Family Junior *Name: Occupation: Name #2: (Required for family & Jr. membership only~ (Jr MUST include a parents name) Occupation *Home Address: *City: *State: *Zip Code: *Home Phone: *Work/Other Phone: *E-mail Address: Kennel name and Website URL: *May we add your name and email address on our "members only area" page?
Yes
No
*Number of MALE HWV currently owned (Ownership is not required for membership):
None
1
2
3
4
5-10
10+
*Number of FEMALE HWV currently owned (Ownership is not required for membership):
None
1
2
3
4
5-10
10+
*Principle areas of interest: (Select all that apply)
Conformation
Obedience
UKC pointing dog events
Companion Hunting
Tracking
Agility
Breeding
Companion/Pet
Other
If other, please list here: *Why do you want to join the club, and what would you hope the club could do for you?
Please list other dog club affiliations, as well as offices held:
*Have you ever been disciplined or your privileges suspended by the UKC or AKC?
Yes
No
If so, please set forth a statement of what occurred:

If accepted as a member of the UNITED HUNGARIAN WIRE-HAIRED VIZSLA ASSOCIATION, I agree to abide by the Constitution and Code of Ethics of the club. Failure to abide by it may result in forfeiture of my membership.

*I understand that by submitting this application I am agreeing to the above statement.
I understand
*Over 18 years of age or the parent/legal guardian?
I am the parent /legal guardian
I am over 18

All required fields (marked with an *) must be completed or the application will not submit.

Fields marked with a * are required

© UHWVA: Copyright for all material in this site not otherwise credited is held by the United Hungarian Wire-Haired Vizsla Association and permission to reproduce any material in any electronic or printed version must be specifically requested.