BREEDERS DIRECTORY click above button to use printable form North American Shepherd Association (NASA) Breeder Listing Application The only requirement to be listed in the Breeder Directory, on the NASA website, is that the breeder needs to be a current NASA member. The Directory listing fee is $30.00/year, $50.00/2 years. ****Check the box to the right of each line you want to appear on the website. Please print the following: Name: _________________________________________________________ Required Kennel Name: ___________________________________________________ Address: _______________________________________________________ _______________________________________________________ City,State,Zip: ___________________________________________________ Email: __________________________________________________________ Phone: _________________________________________________________ Cellphone: ______________________________________________________ Website Address: ________________________________________________ As a member(s) of NASA, I (we), the undersigned, agree to promote/participate only in activities and behavior that will benefit the common good of the North American Shepherd. I (we) also agree to abide by the NASA Bylaws and Code of Ethics. Signature: _________________________________________________, Date: ________________ NASA Membership #: _____________________________________________________________ Enclose check or money order payable in US dollars to: NASA (A $25.00 fee will be charged for returned checks). Please mail this completed form and dues to: Sarah Seefeldt, N8380 North St., Ixonia, WI 53036 Board approved: 7/1/09
click above button to use printable form
North American Shepherd Association (NASA) Breeder Listing Application The only requirement to be listed in the Breeder Directory, on the NASA website, is that the breeder needs to be a current NASA member. The Directory listing fee is $30.00/year, $50.00/2 years. ****Check the box to the right of each line you want to appear on the website. Please print the following: Name: _________________________________________________________ Required Kennel Name: ___________________________________________________ Address: _______________________________________________________ _______________________________________________________ City,State,Zip: ___________________________________________________ Email: __________________________________________________________ Phone: _________________________________________________________ Cellphone: ______________________________________________________ Website Address: ________________________________________________ As a member(s) of NASA, I (we), the undersigned, agree to promote/participate only in activities and behavior that will benefit the common good of the North American Shepherd. I (we) also agree to abide by the NASA Bylaws and Code of Ethics. Signature: _________________________________________________, Date: ________________ NASA Membership #: _____________________________________________________________ Enclose check or money order payable in US dollars to: NASA (A $25.00 fee will be charged for returned checks). Please mail this completed form and dues to: Sarah Seefeldt, N8380 North St., Ixonia, WI 53036 Board approved: 7/1/09
