2008  DPHC Membership Application

Name(s) ______________________________________________________
Address ______________________________________________________
City _________________________ State ________ Zip Code _________
Telephone ____________________ 
APHA# ___________________________________
EMAIL ___________________________________________

Dues (Jan-Dec)
$20 Single
$35 Family
DJPHC (members only) $10.00

Membership entitles you to participate in all club activities and receive the newsletter. For DPHC show points to count toward year end awards membership must be paid by July 31st. 

Make checks payable to DPHC and mail to: 
Sandra Gumz
24110 Carrlyn Dr
Ridgely, MD 21660