This is not for Prospective Member's please go to the page Membership application .
                                                 
                                                  
MVKC Membership Dues
                           (This form is Only for member who have already been voted in)
                                               
                                                
Club Dues are Due July 1, 2009
                                               $10.00 per. Person
                                              $1.75 for Jr. Members

                    
                                Please send payment to our club treasurer:

                                     George  Marquis
                                      PO Box 157
                                  Freemont NH. 03044


Name: _______________________________________________________

Kennel Name: ________________________________________________

Address: _____________________________________________________

_____________________________________________________________

_____________________________________________________________

Tel#:  _______________________________________________________
        
          _______________________________________________________

E-Mail: ______________________________________________________

Web Site: ____________________________________________________

Breed of Dog: _________________________________________________
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