ASA Membership Renewal Form

ASA MEMBERSHIP RENEWAL FORM

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Date

Name

Spouse or Partners Name

Street Adress

Address Line 2

City

State / Province / Region

ZIP / Postal Code

Country

Phone Number

Email

The Ameri-Can Stabyhoun Association has no paid staff and is run entirely by member volunteers. Are you willing to volunteer?

Yes No Perhaps Occasionally

Membership Directory

Yes No

Would you like your contact information to appear in the “Membership Directory” which appears in the “Members Only” section of the ASA website? It will assist other Staby owners close by to get in touch with you for gatherings and play dates! Please indicate:

I hereby renew my membership in the Ameri-Can Stabyhoun Association, and by signing this application agree to abide by the ASA Constitution, Bylaws and Code of Ethics found on the ASA website (www.stabyhouns.org). Please check the box..

I agree to the above statment

Choice of Term for membership

By clicking on the SUBMIT button below,
you will be taken to our ASA PayPal site where you can pay your membership renewal fee.

AMERI-CAN STABYHOUN ASSOCIATION

EMAIL any questions to:

membership@stabyhouns.org