| Rocky Mountain Australian Shepherd Club Membership Application Name(s): _____________________________________Phone #:____________________ Jr. Member(s)___________________________________e-mail address:_____________ Address:_________________________________________ City:____________________________________ State:_____ Zip:__________________ Kennel name:__________________________________ Australian Shepherd Club of America member? _________ Applying for: Individual Membership _______ $15.00 Family Membership _______ $18.00 Interests:________________________________________________________________ Areas of expertise (please include woodworking, computer, cross stitch, sewing, etc. as well as canine expertise): _______________________________________________________________________ Committees you would be willing to serve on: show _____ fun/work days _____ merit awards _____ awards _____ Would you be willing and able to help us at shows? ____________ By signing this application, applicant(s) agree(s) to adhere to the Constitution and By-Laws of the Rocky Mountain Australian Shepherd Club and the Australian Shepherd Club of America. ________________________________ ____________________________________ signature of first applicant signature of second applicant Send with appropriate fees to: Kaili Crabdree 4100 S. Logan St. Englewood, CO 80113 Official use: Fees received: ____ Approved: ________ |
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