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Practice Gravity Form

Application Form

Example Application Form

Name(Required)

First Last

Occupation(Required)

Name

First Last

Occupation

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Website

Email(Required)

Kennel Name

I Own an AKC and/or ASDCA Registered Anatolian Shepherd Dog(Required)

Yes

Other breed(s) owned:

AKC and/or ASDCA Registered Anatolian(s) currently owned: (Required - Full registered name of dog(s) and registration number)

Other dog clubs or animal clubs you belong to and offices held:

Special skills or abilities you possess which might be helpful to the ASDCA:

I/We hereby apply to the Anatolian Shepherd Dog Club of America, Inc. for Membership(Required)

INDIVIDUAL (REGULAR) MEMBERSHIP open to any owner, 18 years or older, of an AKC and/or ASDCA registered Anatolian Shepherd Dog. Requires endorsement by two ASDCA regular members in good standing AND must be voted upon by the Board of Directors. Associate Member status granted until applicant is accepted by the Board of Directors.

FAMILY (REGULAR) MEMBERSHIP open to any two individuals who reside in the same household, 18 years or older, each of whom comply with the same requirements as that of the Individual Membership. Each must own (be an owner of record on the registration papers) of an AKC and/or ASDCA registered Anatolian Shepherd Dog. Requires endorsement by two ASDCA regular members in good standing (see page 2) AND must be voted upon by the Board of Directors. Associate Member status granted until applicant is accepted by the Board of Directors. Each adult is entitled to one vote but receives only one copy of any gratis ASDCA publication.

ASSOCIATE MEMBERSHIP open to persons 18 years or older who has an ongoing interest in the Anatolian Shepherd Dog. DOES NOT require endorsement by two ASDCA regular members in good standing.

JUNIOR MEMBERSHIP open to persons 10-17 years of age. DOES NOT require endorsement by two ASDCA regular members in good standing. FOR JUNIOR MEMBERSHIP: DATE OF BIRTH IS REQUIRED:

Junior Member Birthdate

Signature

Check area(s) of Interest(Required)

Consent(Required)

Yes, I would like my name, address, email & phone number included in a published membership list.

This is for our membership list check here if you want your information published.

Endorsements by Two ASDCA Members in GOOD Standing REQUIRED FOR REGULAR MEMBERSHIP - Please write sponsor names below:

NON-refundable Application Fee(Required)

Price: $5.00

Courtesy Fee(Required)

Price: $5.00

Individual Membership Dues

Price: $30.00

Family Membership Dues

Price: $40.00

Associate Membership Dues

Price: $30.00

Junior Membership Dues

Price: $20.00

For all other non-US Mailing Addresses (Postage Surcharge)

Price: $20.00

For Canadian Mailing Addresses (Postage Surcharge)

Price: $15.00