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Western Mass Bird Dog Club Membership Application 2019 Membership Please make the check out to the Western Mass Bird Dog Club and mail to the following Address: Western Mass Bird Dog Club P. O. Box 82 Chicopee, Ma 01014 Application Date ___Name:___ Address:___ City:___ State:___ Zip___ Contact # P___ C___ Email ___ Signature___ Referred By ___ Breed of Dog___ If accepted by the membership, by the signature below, I agree to abide by the rules and regulations of The Western Ma Bird Dog Club....

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