Membership application

ANATOLIAN SHEPHERD DOGS INTERNATIONAL, INC.
A Not For Profit Corporation, Originally Established 1991
Çoban Köpegi, 11850 Bruin Dr., New Port Richey, FL 34654
SEND APPLICATION WITH CHECK OR MONEY ORDER TO:
ASDI, INC. Membership, Audrey Chalfen
PO Box 154
Readville, MA 02137

MEMBERSHIP APPLICATION

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Name                                                Telephone/ FAX / E-mail

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Address                                             Occupation

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City,State,Zip                                      Kennel Name

AREAS OF INTEREST:

No Yes - IF YES - INCLUDE DOG'S NAME(S), SEX, U.K.C REGISTRATION # AND BREEDER NAME.

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OTHER CLUBS AND OR ACTIVITIES TO WHICH YOU BELONG AND OFFICES HELD

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HOW DID YOU HEAR ABOUT OUR CLUB?

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I WOULD BE INTERESTED IN VOLUNTEERING FOR THE FOLLOWING -

RESCUE OFFICER OR DIRECTOR ADVERTISING 
NEWSLETTER EDITOR OR ASSISTANT FUND RAISING 
REGIONAL IMPORT DOG EXAMINER
OTHER (please specify)__________________________________________
____HOURS PER WEEK AVAILABLE      DO YOU HAVE A COMPUTER?No Yes
____OTHER (PLEASE SPECIFY)

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I/WE HEREBY APPLY TO ANATOLIAN SHEPHERD DOGS INTERNATIONAL, INC. FOR MEMBERSHIP (INCLUDES SUBSCRIPTION TO THE NEWSLETTER - CHOBAN CHATTER)
$25.00 PER HOUSEHOLD. ONE OR TWO MEMBERS PER HOUSEHOLD. EACH MUST SIGN APPLICATION
NEWSLETTER SUBSCRIPTION ONLY, $25.OO - FOR INDIVIDUALS WHO DO NOT OWN AN ANATOLIAN.

ADDITIONAL DONATION FOR RESCUE OR HIP CERTIFICATION REQUIREMENT FUND $____________

ADDITIONAL DONATION FOR SPONSORING AN ANATOLIAN THROUGH CCF$____________

CANADA PLEASE ADD $3.00 FOR POSTAGE - OTHER FOREIGN COUNTRIES ADD $9.00

Initial application/dues received after October 1 of the year will be good through the following year. Otherwise dues are due January 1st.

I AGREE TO ABIDE BY THE CONSTITUTION AND BY-LAWS ADOPTED BY ANATOLIAN SHEPHERD DOGS INTERNATIONAL, INC AND THE UNITED KENNEL CLUB. I ALSO AGREE TO ABIDE BY THE ASDI, INC CODE OF ETHICS.

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APPLICANT'S SIGNATURE                           DATE

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APPLICANT'S SIGNATURE                           DATE

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