To The Board of Directors,
I hereby apply for membership in the Conestoga Vizsla Club, Inc. and agree to support the constitution and By-laws of the Club; to encourage high standards in breeding, training, and showing vizslas; and to promote the welfare of the vizsla breed.

Your Signature_____________________________________________________________________________

Please Print Your Name______________________________________________________________________

Your Sponsor______________________________________________________________________________

Your address______________________________________________________________________________

City_________________________________State___________________Zip__________________

Your Occupation___________________________________________________________________________

Home phone________________________Work phone___________________Email address_______________

I now own_______________vizslas.  #males______________#females_________________

Membership in the Conestoga Vizsla Club, Inc. entitles me to a voice in all club policies and a vote in all club elections. Membership dues are $30.00 (family), $25.00 (Single) per year,  $20.00 (Subscription Only).  Subscription only is NOT a voting member of CVC.  The club year runs from January through December.  Membership includes a subscription to the CVC Newsletter.

Please find $____________enclosed for this year's membership.  Date_______________________

Mail to :  Steve Shlyen
134 Mt. Airy Road,  Pipersville, PA  18947

Applicants must have a sponsor.  If you do not have a sponsor please call Steve at 610-294-8020.