English Shepherd Club New Member Application

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New member application for the English Shepherd Club
By clicking submit button to this application I agree to:
Support the Constitution and Bylaws of the English Shepherd Club
Strive to fulfill the Mission and the English Shepherd Club

I affirm that:
I am not currently suspended from any Kennel Club.
I have not been charged and found guilty, pled no contest, or paid a fine to any government agency's or humane Society's charges of animal mistreatment or neglect.

After filling out the application you should be directed to the payment page at http://www.englishshepherd.org/Membership-3full.html

First name *

Last name *

Street Address *

City *

State *

Zip/Postal Code *

Country (if outside the United States)

Email address

Home Phone

Work Phone

Cell phone

English Shepherd Owner? *

Yes

Names of your English Shepherd(s)

Colors of your dog(s)

Lines/pedigree

Are your dogs used for breeding?

Yes

Clear selection

Describe any experience, skills, or interest you can contribute to the ESC:

May we call on you for assistance?

Yes

Clear selection

Is this membership new or a renewal? *

New

Renewal

By clicking submit button to this application I agree to:
Support the Constitution and Bylaws of the English Shepherd Club
Strive to fulfill the Mission and the English Shepherd Club

I affirm that:
- I am not currently suspended from any Kennel Club.
- I have not been charged and found guilty, pled no contest, or paid a fine to any government agency's or humane Society's charges of animal mistreatment or neglect.

After filling out the application you should be directed to the payment page at http://www.englishshepherd.org/Membership-3full.html

Submit

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