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TALLAHASSEE AREA SHETLAND SHEEPDOG
ASSOCIATION
MEMBERSHIP APPLICATION
YOUR NAME ____________________________________________
ADDRESS ______________________________________________
CITY/STATE/ZIP _________________________________________
E-MAIL ADDRESS(ES) ____________________________________
PHONE: HOME (
)_______________________
WORK ( )_______________________
CELL ( )_______________________
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| Annual dues are payable by
January 1 of each year and are non-refundable.
MEMBERSHIP CATEGORY AND
ANNUAL DUES: |
DUES
$15 _____ Individual Full Membership
$15 _____Junior Membership
$25 _____ Household Membership
$10 _____ Associate Member
(Newsletter ONLY)
GIVE YOUR COMPLETED FORM TO A MEMBER OR
MAIL TO:
SUSAN CAROL LOSH
P.O. Box 3273, TALLAHASSEE FL 32315-3273
PLEASE INCLUDE YOUR DUES. DO NOT SEND
CASH THROUGH THE MAIL. |
PLEASE COMPLETE THE FOLLOWING BRIEF
QUESTIONNAIRE:
What is your background in Shelties? What
is your background in other breeds?
Have you shown dogs in ( )
conformation? ( ) obedience? ( ) agility? For how
many years? ______
Check all that apply to your interests:
( ) Conformation ( ) Obedience
( ) Agility ( )Other (specify:)
What are your other interests in Shelties?
Which issues or events are you most interested
in? (E.g., Specialty Show, Newsletter, Raffle, Fun Matches, Publicity,
Holiday Party, Special Events?)
Are you interested in other breeds? (If
yes, which ones?)
Are you interested in breeding? (
) No ( ) Yes [IF YES: Which breeds?]
How can this club help you?
Do you belong to any other dog clubs? [IF
YES: Which ones?]
I will read the Constitution
and By-Laws and hereby agree to abide by them.
__________________________________________________________________________
(Signature)
(Date)
