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PURCHASE AREA HUNTING RETRIEVER CLUB   
MEMBER WEBSITE INFORMATION
Personal Info:
NAME:
Spouse:
Street:
City:
ZIP:
Phone:
______--________--_____________
Email:
Species you enjoy hunting:

DOG / DOGS:  (attach additional sheets as needed)
Breed:
Call name:
Registered Name:
Titles:
Pedigree: attach seperate sheet, make as extensive as you like, be sure it is legible
Stud:   yes     no      FEE:
Planned Litters:
Comments: (anything about the dog)
Please include several non-copyright photos of you and your dog. Include shots taken while hunting or running a test. Write your name on the back of each photo. Photos may be picked up at regular club meetings or include a self addressed stamped return envelope. Any information you do not want posted on the web leave blank.
Submit any additional info on a labeled seperate sheet.
Mail to: Steve Ward... 310 East Commercial... Charleston, MO 63834    email: ward3@ldd.net