Delaware Valley
German Shepherd Dog Club
Membership Application

Applicant's Name  _________________________________________

Street Address  ___________________________________________

City  __________________________  State  ______ Zip  __________

Phone  __________________________________________________

E-Mail  __________________________________________________

Sponsors' Names  (1)  _____________________________________

                                  (2)  _____________________________________

Dues  _____  Attached  _____  Previously Paid


I began active interest in the Breed in the year _________, and I now
own  _______  German Shepherd Dogs.


Date  _________  Signed  ____________________________________
                                       (applicant)

I have read and understand the
German Shepherd Dog Club Of America's Breeders' Code of Ethics,
and I agree to abide with the conditions imposed therein.

Signed  ____________________________________________________
(applicant)

Please complete and mail to  DVGSDC
c/o Betty Abrams
20 Dahlia Lane
Levittown PA, 19055