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For Official use Only
CM _______________
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Please Print or Type
Address _________________________________________________________________________________________
Occupation ____________________________________________________ Date of Birth (Jrs Only) _______________ E-mail address_____________________________________________________________________________________ 1. Have you handled any dog completing any title? If so, state registered name, breed, and title _________________________________________________________________________________________________ _________________________________________________________________________________________________ 2. Do you handle your own dogs? How many years? _________________________________________________________________________________________________ 3. What is your present breed? ________________________________________________________________________ 4. Do you breed dogs? ____ List breeds and state how many years you have been breeding each breed. _________________________________________________________________________________________________ 5. List any present and prior memberships in dog clubs and any offices held. _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ 6 Why do you wish to belong to this Association? _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ 7. What hobbies, interests, or special skills do you have which you can share with OHA? ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ 8. Have you ever been suspended from the privileges of the American Kennel Club? _______________________________ If so, state the date and circumstances on a separate page.
9. How did you learn about OHA? ________________________________________________________________________________________________ 10. Include any additional information regarding your activities in the dog world. _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ |
Fiscal year begins November 1st of each year. Members accepted after June 1st will be considered paid to the end of the following year (October 31st).
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DECALS (Red and Gold)
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BUMPER STICKERS (Red and White)$.50 each
This application is accepted subject to the approval of the Board of Governors of The Owner Handler Association of America, Inc. It not approved, there is no obligation on the part of the Association to disclose the reasons for its decision. I hereby understand and agree to the above statement.
Date ______________________________________
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Applicant's Signature
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Applicant's Signature
Amount Enclosed $ ________________________
Check for dues and any
material ordered must accompany this completed application and be returned to:
OHA
PO Box 637
New Hampton, NY 10958-0637
ACCEPTED _________________, PER___________________________
(PLEASE ALLOW 15 WEEKS FOR PROCESSING APPLICATION)
Copyright 2002, The Owner Handlers Association of America, Inc.
