CARAVAN HOUND PRESERVATION SOCIETY INTERNATIONAL
Membership Application Form
Please print
Mail application (completed) back to:
Denise Como (sec. CHPSI)
Kukkuripa Rampuri
PO Box 137
Cassville, NJ
USA 08527-0137
Membership fees (US$):
Family (2 votes): $9
Single (1 vote): $7
Foreign (1 vote): $7
Indian member (2 votes): $9
Name:_______________________________________________________
Address:____________________________________________________
City:_____________________ State/Province:__________________
Zip/Postal code:_____________________ Phone:________________
email address:___________________________
I presently own ___ Caravan Hound/s.
Indicate number of: ___Show Quality ___Breeding Quality ___Pet Quality ___Dog/s (M) ___Bitch/es (F) Colors: ___fawn ___red ___gold ___creme ___Irish marked ___white ___black ___mouse gery ___slate grey ___brindle
Kennel name (if appropriate):_______________________________
Other information of interest:______________________________
____________________________________________________________
Membership includes Club's quarterly newsletter, The Traveling Caravan
I hereby apply to the Caravan Hound Preservation Society International (CHPSI) for membership. I agree and abide by its rules and by-laws. In addition I will only follow the ORIGINAL breed definitions for Caravans as by the KENNEL CLUB OF INDIA (KCI) and keep in mind this breeds ORIGINAL PURPOSE as a rugged hunting sighthound.
Signed:______________________ (Individual) Date:___/___/___
Signed:______________________ Signed family:________________
Please mail this application along with your check made payable to Denise Como.
Enter my name in the following directories: ___members ___champions ___studs ___breeders
Can copies of your records be shared with other members? ___yes ___no
My interests are: ___breeder ___handler ___judge ___pet owner ___conformation shows ___lure coursing ___open field coursing ___hunting ___agility ___obedience ___fancier
I would like to be a CHPSI representative/director for the state/province of: _____________________________
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