ICELANDIC SHEEPDOG ASSOCIATION OF AMERICA (ISAA)

Invitation to Join/ Re-new Membership Application (PLEASE PRINT)

Name:__________________________________________________________________

Your personal data will not be published in a membership directory.  Members may
contact the ISAA president for specific information to network with one another.

Junior Member under 18 (list date of birth):____________________________________

Your Kennel Name (if applicable):____________________________________________

Mailing Address:__________________________________________________________

City, State, Zip:___________________________________________________________

Home Phone: (______)____________________________

Work Phone: (______)____________________  FAX: (______)____________________

Internet e-mail Address:____________________________________________________

Personal Website: ________________________________________________________

Dog(s) Official Name & Date of Birth__________________________________________________

Has your dog been spayed or neutered____________?

Membership is from January to December - mid year subscribers will receive back issues to January of the newsletter - after
September 1, membership will begin in the following January

_________New member

_________Renewal


Newsletter back issues may be ordered for $20 per year.  Please specify the year(s) you are ordering.

Date(s) of back issue(s) ordered ___________________

Members of the Icelandic Sheepdog Association of America,Inc. (ISAA, Inc.), are required to abide by the By-Laws and all
other Policies and Procedures of the ISAA, Inc. in force at the date of application and as may be subsequently modified and/or
amended by the officers, Directors, and Members of the ISAA, Inc.


Signature________________________________     Date____________________

Dues:
[ ] Annual Dues - Regular Membership    1 vote  
[ ] 1 year               $ 20.00
[ ] 3 years             $ 50.00            Incentive Gift:               ISD on Board Sign
[ ] 5 years             $ 75.00            Incentive Gift:               ISAA Tile
[ ] 10 years           $130.00           Incentive Gift:               ISAA Framed Tile
[ ] Lifetime            $300.00           Incentive Gift:               Personalized ISAA Mug

[ ] Annual Dues - Foreign Membership (Non-US Resident)  non-voting  $20

[ ] Annual Dues - Junior membership non-voting (Included with regular
or foreign membership for junior member living in the same household)

Make checks or money orders payable in US funds to ISAA.

Please return completed application  and check to:
                                                             ISAA
                                                          c/o Russ & Linda Hansen
                                                               PO Box 46
                                                               Morris, PA 16938
Please reigister each of your dogs using this form "Dog Registration"
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