NAVHDA International
Membership Application

Please print this form using your browser's print command and mail to: NAVHDA, P.O. Box 520, Arlington Heights, IL 60006 Overseas Membership: for shipping and postal costs, add $30.00 to listed membership fee. To pay by credit card: ___Visa ___MasterCard ___AMEX ___Discover Card Number: __ __ __ __ - __ __ __ __ - __ __ __ __ - __ __ __ __ Exp Date: ____ / ____ Signature: _____________________________________________ Make checks payable in U.S. funds to NAVHDA. Dues are tax deductible in U.S.(Tax# 95-3402489 under 501(c)(3) as an Educational Corporation)

Choose the membership package that best suits your needs: All memberships include our monthly magazine

	$55.00 New Membership New Member Packet including NAVHDA Aims, Programs, Test Rules book and decal.
	$78.50 New Member Package (IL residents add sales tax) Includes the NAVHDA Training Book ($15.50 Value) and the 60 minute correlating Training DVD ($28.95 Value), NAVHDA Aims, Programs, Test Rules book, and decal.

	$50.00 Renewal Regular Membership
	$25.00 Spouse Membership Name: ________________________		$1000.00 Life Membership Endowment
	$25.00 Junior Membership (up to 16 yrs.) Name: ________________________		$175.00 Down Payment on Life Membership Endowment Installment Plan

Name__________________________________________________________________ Given Name and Initials Street__________________________________________________________________ City___________________________ State/Province ______ Postal Code___________ Phone _____-_____-____________  E-mail ____________________________________

Please tell us about yourself and your involvement with versatile hunting dogs: