Membership Application
American Sealyham Terrier Club - Questions? ask chairman,  Lisa Wright
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Email *
Name for Membership *
Membership Type
 *
Membership Fee -send PayPal payment to: astc.sealy.treasurer@gmail.com.                                   note: applications from July 1 - Nov 30 are 1/2 price, December applications will be good through following year *
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A member will be refused or suspended if not in good standing with the American Kennel Club. This application means Applicant(s) agree to abide by the ASTC Code of Ethics and By-Laws. *
Required
Sponsors - 2 Sponsor letters or emails are required for processing an application, list names of those who are providing these sponsor letters/emails: *
Applicant Address: *
City *
State *
Zip code *
Phone
alternate Phone or Fax
Occupation(s)
How many Sealyhams in your household? *
Select all that apply *
Required
How long have you owned Sealyham terriers? *
What is your Kennel name, if any?
What other breeds do you own or raise?
List other clubs you are or have been a member *
Mark all that apply, areas of interest in the club you would be willing to Volunteer for committees/ work
A copy of your responses will be emailed to the address you provided.
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