Membership Form Member Type —Please choose an option—New Member ($30 per year)Renewal ($30 per year) Name NAVHDA No. Address Address (Line 2) City State —Please choose an option—AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareWashington DCFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Code Email Address Additional Family Members Name Email Address NAVHDA No. Name Email Address NAVHDA No. Name Email Address NAVHDA No. Breed(s) of dog(s) Age(s) of dog(s)