Name or names if family membership

Surname or surnames should these differ and this is a family membership

Cell Phone number

Email address

Residential suburb

Annual Subscription Annual Subscription Ordinary member R300 Family member R400 Junior/pensioner member R200 GSP Rescue introduced member R200 (first year discounted)

Total

By applying for/renewing my/our membership to the German Shorthaired Pointer Gauteng Club, I/we agree to: Abide by the rules and regulations set out in the Constitution of the German Shorthaired Pointer Gauteng Club and the Kennel Union of Southern Africa. Encourage high standards in breeding, training and competing with German Shorthaired Pointers. Promote the welfare of the German Shorthaired Pointer breed. Hereby give GSP Gauteng Club consent to process my/our personal information, in accordance with the provisions of the Protection of Personal Information Act, for all purposes related to club activities. Such consent shall be limited to office bearers, as required for club related activities. By applying for/renewing my/our membership to the German Shorthaired Pointer Gauteng Club, I/we agree to: Abide by the rules and regulations set out in the Constitution of the German Shorthaired Pointer Gauteng Club and the Kennel Union of Southern Africa. Encourage high standards in breeding, training and competing with German Shorthaired Pointers. Promote the welfare of the German Shorthaired Pointer breed. Hereby give GSP Gauteng Club consent to process my/our personal information, in accordance with the provisions of the Protection of Personal Information Act, for all purposes related to club activities. Such consent shall be limited to office bearers, as required for club related activities. I/we agree

If you are a member of KUSA, please provide KUSA membership number

Names of GSPs owned

Interests: (check all that apply) Interests: (check all that apply) Showing Training days Tracking Field trials Seminars Breed promotion Hunt tests Obedience Wing shooting Fun days Agility K9 Blood donation Breeding Therapy dog Other

Other (please specify)

Introduced by