GAASC Membership Application Form

Thank you for your interest in the Australian Shepherd as a breed and the Greater Atlanta Australian Shepherd Club as a source of information and fellowship with fellow Aussie lovers. We have several types of memberships. Electronic means you will receive your newsletters and show fliers via email. *Members with email are not eligible for hard copy mailings of newsletters or show fliers.

Dues:
Family $20*       Electronic Family $12
        Single $18*        Electronic Single $10
Junior $5
Newsletter Only $8

Please fill in the following form and click the submit button. Print the page that will follow, sign it and send to the address listed along with your dues.

Jarilyn Pusz
2875 Cressington Bed NW
Kennesaw, GA 30144

   New Membership     Renewal   
Name:         Phone:
Address:
City:    State:    Zip:
E-Mail:
Are you an ASCA Member? Yes  No    Member #   Exp. Date (01/01/2000)
Are you registered with: ASCA    IESR    AKC    UKC    SKC      (Check all that apply)
Are you interested in:  Showing    Breeding    Herding    Obedience    Agility      (Check all that apply)
Would you like your name, email and phone included in the club roster?     Yes             No

 

Questions - Comments - Concerns
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