If you are interested in promoting the working qualities of collies, the AWCA welcomes you!
REGISTRATION FORM
KENNEL NAME:___________________________________________________________________
ADDRESS:_________________________________________________________________________
PHONE:_____________________________ EMAIL: ____________________________________
To join AWCA fill out this form and send to Kristin Thober,
347 Linebrook Road, Ipswich MA 01938. Make check payable to AWCA.
Type of membership (check one):
Note: These dollar amounts include a one time only $5.00 new
membership fee which pays for the processing and mailing of your AWCA new
member folder. Yearly dues will NOT include this amount.
____ Individual membership $20.00
____ Junior membership (under age 18 yr) $11.00
____ Joint membership (2 members per household) $22.50
____ Canadian individual $22.50 or joint $27.50 or junior ($13.75) (circle which applies)
____ International individual $30.00 or joint $35.00 or junior ($17.50) (circle which applies)
Donations (Thank you!)
____ Gift membership for the individual/joint/junior indicated above
____ Gift membership for anyone, at the discretion of the AWCA Board
____ Donation to AWCA Collie Rescue Fund for the amount: $
____ Donation to the Compassionate Care Fund* for the amount: $
*(emergency medical fund for owned collies)