Colorado
Australian Shepherd Association
Membership
Application & Renewal
I
am applying for a : (Check one)
_____Family Membership ( $15 Yr.)
_____ Single Membership ( $10Yr.)
_____ Junior Membership (
$5 Yr.) ______ Half Year - Pay ½ Regular Fee
New Member ________ Renewal
_________
PLEASE PRINT OR TYPE :
Name :
___________________________________________________________________________________
Address :
_________________________________________________________________________________
City :
___________________________ State ________
Zip __________ Phone :
____________________
E-MAIL ADDRESS :
___________________________________________________
Kennel Name (if any)
:______________________________________________________________________
My hobbies & special
areas of interest are :_____________________________________________________
Areas in which I’d like to
get involved with CASA club activities:__________________________________
My occupation is :
_____________________________________________________________
Date of
Application :______________ Amount
Enclosed : ____________
_______________________________________ _________________________________________
Signature
of Applicant
Signature of Second Applicant
By signing this
application, the applicant (s) agrees to adhere to the By-Laws of the
Colorado Australian Shepherd Association, Inc.
IMPORTANT : NEW MEMBERS ONLY !
This application must
be signed by two (2) members in good standing with CASA.
_______________________________________________
_______________________________________________
Signature of First Sponsor
Signature of Second Sponsor
MAIL THIS APPLICATION & YOUR CHECK , MADE PAYABLE
TO CASA TO :
Anne Schmitt - CASA Membership Chair
-
CASA meets every month at a regular meeting
place. We’d love to have you there
! See our website at www.coloaussies.org for more
information.
Check our web site for more
info or call Anne at 303-776-8524
Terri
Morgan, CASA President at (303) 621 -2128