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                                          Internet membership application
Name
                                                                           Dues $10.00

Kennel Name                                                                   Phone (   )   -                       
                                                                                      
home                                  
Address                                                                          Phone(   )   -                       
                                                                                      
work                                    
City, State,Zip                                                                 Phone(   )   -                        
                                                                                      
fax                                                 
Email                                                     
                 ------------------------------------------------------------------------------
                                                                                      
Breeder listing $5.00
Breeders Directory Codes: A=adults, Ag= agility, B=blue merle, Bb=bi-black, Bi=Bi-blue,
H= Handling,  Hd=herding, O=obedience, P=puppies, S=stud service, Sa=sable, T=tri,
W=color-headed white, WF=white-factored, X=all colors,
Please cirlcle all letters that apply to your kennel 
Make check payable to: White Shetland Sheepdog Association Dues $10.00 aditional $5.00
for the breeders directory listing published in every issue.

Mail to
Gracia Landes, Treasurer
          9466 S. Alder Creek lane
          Canby, OR  97013 

          
                      
Membership Application includes a subscription of our quarterly newsletter THE GUARDIAN the official newsletter of the WSSA.
Please copy and mail in.
                        Internet application for registration for a single dog
Please cirle one 
Color-headed white 75%       Heavily marked white 50%      White-factored
Owner's name                                                              Phone(   )   -                       home

Address                                                                         Phone(   )   -                        work

City, State, Zip                                                             Phone(   )   -                          fax

                                              
Sheltie Information

Dog's name                                                                             AKC#                     required
                                                        CKC#                             UKC#                    
Breeder                                              D.O.B.                          Sex                        

Complete written description, including color, tattoo,eyes if blue/partial blue
                                                                                                                    
                                                                                                                    
                                                                                                                    
                                                                                                                     
Sire
                                                                                     registry and #                        

Dam                                                                                     registry and#                       

Signature of Applicant                                                             Date                    Fee $5.00

Instructions: Fill out form, enclose 2 clear photos, one left side and one right side in a standing position. The head
must be turned towards the camera in one photo.Photos can be digital and sent email.  A 3 generation pedigree must acompany this application.
(hand written is acceptable)  Send check or money order for $5.00 to cover the printing cost.
Deceased dogs may be registered if you have one photo. Mail application and fee to the registrar,
fee will be refunded if the registration is denied.

Mail Registry Applications to Pat Schaap
                                                  13019 Triadelphia Mill Rd.
                                                  Clarksville, MD 21029-1418
                                                   [email protected]


 
To register your color-headed white, heavily marked or
white-factored sheltie, fill out the form below and send in.
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