Olympic Australian Shepherd Association
Membership application/ renewal
Olympic Australian Shepherd Association
17415 Ben Smith Rd.
Tillamook, OR 97141
Annual Dues
_______$10.00 Individual Membership (1 vote)
_________$20.00 Family Membership (# votes per # members over 18 years old)
________$3.00 Junior Membership (8-18 years old) Non-voting
New Member_______ Renewal____________
Name:___________________________________________________________________
Additional Family member names (for Family Membership)_________________________
_________________________________________________________________________
Email address:_____________________________________________________________
Mailing address:___________________________________________________________
City:_________________________State:_____________________Zip:________________
Web Address:_________________________________________________________
Check here if you want your web site link to be included on our web page:________
Are you a current member of ASCA?
Yes____ No_____ ASCA membership #____________________ Exp. Date_________
New applicants are voted on by the OASA Board of Directors.
OASA requires that all applicants adhere to the ASCA By-laws, OASA By-laws and OASA policies and procedures.
Club dues are due for renewal on January 1st of each year.
All membership criteria of OASA is in compliance with ASCA and OASA by-laws, policies and procedures.
Membership renewal is due on January 1st of each year and is considered lapse if not received by February 1st of each year.
Membership applications must have two signatures of OASA members in good standing (separate households).
Please make your check payable to: Olympic Australian Shepherd Association
I/We agree to adhere to the by-laws, rules, regulations, policies, procedures and Code of Ethics of the Australian Shepherd Club of America and to the by-laws and policies and procedures of the Olympic Australian Shepherd Association.
Signed:____________________________________________ Date:____________________________
Signed:____________________________________________ Date:____________________________
Sponsoring OASA member signature:_____________________________________________________
Sponsoring OASA member signature:_____________________________________________________
For official use only: Cash________ Check #___________ Date Paid:_________________
New members: Approved ___________yes ____________no
Date of OASA Board Approval: __________________________
Membership application/ renewal
Olympic Australian Shepherd Association
17415 Ben Smith Rd.
Tillamook, OR 97141
Annual Dues
_______$10.00 Individual Membership (1 vote)
_________$20.00 Family Membership (# votes per # members over 18 years old)
________$3.00 Junior Membership (8-18 years old) Non-voting
New Member_______ Renewal____________
Name:___________________________________________________________________
Additional Family member names (for Family Membership)_________________________
_________________________________________________________________________
Email address:_____________________________________________________________
Mailing address:___________________________________________________________
City:_________________________State:_____________________Zip:________________
Web Address:_________________________________________________________
Check here if you want your web site link to be included on our web page:________
Are you a current member of ASCA?
Yes____ No_____ ASCA membership #____________________ Exp. Date_________
New applicants are voted on by the OASA Board of Directors.
OASA requires that all applicants adhere to the ASCA By-laws, OASA By-laws and OASA policies and procedures.
Club dues are due for renewal on January 1st of each year.
All membership criteria of OASA is in compliance with ASCA and OASA by-laws, policies and procedures.
Membership renewal is due on January 1st of each year and is considered lapse if not received by February 1st of each year.
Membership applications must have two signatures of OASA members in good standing (separate households).
Please make your check payable to: Olympic Australian Shepherd Association
I/We agree to adhere to the by-laws, rules, regulations, policies, procedures and Code of Ethics of the Australian Shepherd Club of America and to the by-laws and policies and procedures of the Olympic Australian Shepherd Association.
Signed:____________________________________________ Date:____________________________
Signed:____________________________________________ Date:____________________________
Sponsoring OASA member signature:_____________________________________________________
Sponsoring OASA member signature:_____________________________________________________
For official use only: Cash________ Check #___________ Date Paid:_________________
New members: Approved ___________yes ____________no
Date of OASA Board Approval: __________________________
