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Registration Form

Print Name: Address: City: Home Phone#: Type of game you hunt with dogs? State: Cell phone#: Type of dogs your hunt with? Zip: Date:

Please attach cash, money order, or check with this registration form

___________________________ ___________
Signature Date

Dues are $10.00 each year


Please mail all dues to ADHA President: Don Knight (256)-453-8987 132 Shannon Lane Anniston, AL 36207