Name: Membership Application
SKU: 2975
Availability: InStock

Membership Application

Contact Information
NOTICE: This form is for new members only. If you are a current or former member, please log in to your account to renew. If you are having trouble logging in, please contact USASA Membership at:
membership@australianshepherds.org
Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone Number*
Email*
Areas of Interest
Areas of interest
- Pet
- Breeding
- Obedience
- Rally
- Conformation
- Herding
- Search And Rescue
- Tracking
- Agility
- Judging
- Handling
- Stewarding
- Rescue
Preferences
- I am interested in a Member Club.
- I would like to receive the USASA Email Newsletter.
Membership
Membership type*
- Individual member (Journal, 1 Vote): +$60
- Dual member (Journal, 2 votes) +$75
- Canadian member (Journal, no vote) +$95
- Foreign member (Journal, no vote) +$110
- Jr member (no Journal, no vote) +$0
Co-Applicant Name*
First Last
Jr Date of Birth*
Month
Day
Year
Jr AKC Number*
Have you previously been a member?*
- No
- Yes
STOP! DO NOT SUBMIT THIS FORM contact membership@australianshepherds.org if you do not know how to log into your account on the website to renew.
The Journal
Journal Mailing Class*
- 3rd Class
- Canada
- Foreign
- 1st Class (US only)
Confirmation
Agreement*
By submitting this application I agree to abide by the Constitution, By-Law's and the Code of Ethics of the United States Australian Shepherd Association and I am in good standing with the American Kennel Club.
Total
$0.00

United States Australian Shepherd Association

Membership Application