MEMBERSHIP FORM

ANNUAL MEMBERSHIPS BEGIN JANUARY FIRST EACH YEAR

ANNUAL MEMBERSHIP DUES ARE $30.00 per family

Annual dues include receiving the newsletter which lists upcoming events and activities for members to attend,enter or volunteer.

Fill out form, print, make check payable to”SLODOG” and mail to:

P.O. Box 1144, Atascadero, CA 93423, or hand to an officer.

Would you like to receive your newsletter by e-mail, US Mail or both?                 (Please consider Email only to save printing and postage costs)

Email

US MAIL

Please check all activities that you are interested in

Agility

Conformation

Draft Dog/Carting

Earth Dog

Flyball

Foster & Rescue

Freestyle

Herding/Stock Dog Work

Go to Ground

Hunting

Hunt Tests

Nose Work

Obedience

Rally

Reading 2 Rover

Search & Rescue

Therapy Dog

Tracking

Water Rescue

Working/Schutzhund

Name(1)

Name(2)

Mailing Address - Street:

City:

State:

ZIP:

Email:

Email:

Phone:

Phone:

Dogs Name:

Breed:

Dogs Name:

Breed:

Dogs Name:

Breed:

Dogs Name:

Breed:

Dogs Name:

Breed:

Dogs Name:

Breed:

Other: