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Kansas City Retriever Club Membership Form The Kansas City Retriever Club is an organization devoted to conservation of waterfowl through the training and use of retrievers. Even if you do not own a dog, your membership is welcome as an expression of your interest in conservation. Please print form to fill out APPLICATION FOR MEMBERSHIP Name:__________________________________________________________________________ Spouse:________________________________________________________________________ Address:_______________________________________________________________________ City:____________________________________________________________________________ State:______________________________ Zip Code:_________________________________ Home Phone:__________________________________________________________________ Business Phone:______________________________________________________________ E-Mail address:_______________________________________________________________ KCRC Sponsor:_______________________________________________________________
Signed:_______________________________________________________________________ Date:_________________________________________________________________________
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