Please print this form
and join today!
The United States Wolfdog Association,
Inc.
Membership Application
Check one
-
___New Member
-
___Membership Renewal #_________
-
___Address Change Member #____________
Please Print Clearly--Please
Allow 4-6 Weels To Process
You do not have to own an animal to join USAWA.
All you need is to want to learn and care
about these animals.
You must be a member to register an
animal with USAWA
Name________________________________________________________________
Address__________________________________________Phone(___)___________
City______________________State_______________Zip______________________
How did you hear about the USAWA, or from
whom?_________________________
Do you have any canines that you would
like to register with the USAWA? _________
How many wolves or wolfdogs do you own?_____________________________
Do you need additional Registration Applications?
If so, how many?________
-
What are your main interests in wolfdogs?
Companion ___Working___ Research___ Obedience___ Other____________________________________________________
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Are you interested in participating in organizational
activities or duties?_________
-
Occupation_______________Interests_________________Skills______________
If you would like your Veterinarian
or local library to receive EDELWOLF, please provide their name and address
in the space below. (Be sure to add the discounted cost of $10.00 to cover
printing and postage.)
________________________________________________
________________________________________________
Any applicant who will be
producing even one litter in the forthcoming year must apply as a Breeder
Member.
____Membership $25.00/year__
or
____Membership $45.00 (2 year)
____Family Membership - add $10 per year for
each family member.
Include full name of each member in line1.) above
__
___ You Must check here if
you are or want to be a
Breeder Member
___Send EDELWOLF to my vet or local library
add $10.00/year
(__)Legal Fund Donation $______
(__)Educational Fund Donation $______
(__)Rescue Fund Donation $______
All information submitted to
USAWA is kept strictly confidential. USAWA reserves the right to refuse
or terminate membership for reasons covered in the Organization"s charter
or bylaws.
Signature_________________________________
Date_________________
Send to:__USAWA
__P.O. Box 663 __Williamstown,
NJ 08094
Make checks payable to: USAWA
CanineWorld.com/USAWA