NORTHWEST AUSTRALIAN SHEPHERD CLUB
MEMBERSHIP APPLICATION/RENEWAL
ANNUAL DUES:______SINGLE: $12.50__________FAMILY:$15.00___________
New Member:__________Renewel:______________
Name(s):________________________________________________________________
Address:________________________________________________________________
City:_______________________________________Zip Code:____________________
Phone:_________________________Email Address:___________________________
Why would you like to become a member of NWASC and are you willing to contribute time to the club at shows, clinics, etc?
Two club sponsorships are needed to join the club.
1.___________________________________2.__________________________________
Are you a current ASCA member? _______ASCA #______________
I/We agree to abide to the by-laws of the Australian Shepherd Club of America.
New Membership applications will be voted on by the members present at the meetings.
Club dues are based upon an annual membership which will be due on February 1st of each year.
Signed:___________________________________________________Date:_________
Sponsors Signatures:________________________________________Date:_________
________________________________________Date:_________
Please mail membership dues & application to:
Kitty Castro-Leon/NWASC Treasurer
16385 SE Royer Rd., Damascus, Oreogn 97089
