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