Brandywine Valley Australian Shepherd Club
Affiliate of A.S.C. of America, Inc.
Membership Application
Send to:
Chris Davies
703 Glen Hope Rd
Oxford, PA 19363
Name___________________________________________________
Address_________________________________________________________________
City/state/zip_____________________________________________________________
Phone____________________________ Email _______________________________
Kennel Name (if applicable)___________________________________________________
ASCA membership number___________________
Are you a breeder: (circle one) Yes NO If yes, how many litters per year ________
The BVASC Newsletter will be sent via email, if you do not have email circle here: no email
Areas of interest: (circle all that apply)
CONFORMATION HERDING OBEDIENCE AGILITY TRACKING FLYBALL FRISBEE RALLY
Membership is open to any person(s) who is interested in promoting the club and furthering the Australian Shepherd breed; is in good standing with ASCA and who pays membership dues. Membership applications must be approved by the Board of Directors. Ownership of an Australian Shepherd is not necessary.
Annual dues are:
( ) $20 for Single Vote membership (Individual)
( ) $35 for Dual Vote membership (family)
Make checks payable to BVASC and enclose this application. The undersigned requests membership in the Brandywine Valley Australian Shepherd Club, Inc. and understands that this application is a proposal for such membership.
_________ _____________________________ ______________________________
Date Applicant Signature Applicant Signature