Date
Rec’d __________ Date
App’d __________ Date
Treas __________ Amount
Ck __________ Check #
____________ Membership
# ________
Icelandic Sheepdog Association of
Application for Chapter
Membership
Return To: Knox Rhine 7
Date: __________________________
Chapter Name:
___________________________________________________
Secretary’s
Name: ____________________________________ Home phone: ______________________
Address
______________________________________________________________________________
E-Mail
________________________________________
Work phone ____________________________
Chapter’s
interest or focus (check each item that applies):
Agility ______
Obedience ______ Breed Education ______ Flyball ______ Rally ______ Rescue
______
Conformation
______ Other____________________________________
Current
number of members?______ Year Chapter
was formed? _______
Formal
Chapter__________ or Informal Chapter _________ Region_____________________________
Briefly
describe the chapter’s reasons for seeking ISAA Chapter Membership.
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Attach a
list of your members in good standing. (Chapter members must be members of the
ISAA.)
This
application must be signed prior to submission.
The chapter name will be published in the ISAA Newsletter.
A chapter
is a regional and not a national organization.
The above named chapter hereby applies for Chapter
Membership
associated with the Icelandic Sheepdog Association of America, and if accepted,
agrees to abide
by the ISAA
Constitution, ISAA By-Laws, ISAA Code of Ethics, ISAA Breeders’ Code of Conduct
and the Rules
and
Regulations of the American Kennel Club.
On behalf
of the applying chapter, I have read and signed The Code of Ethics, the
Breeders’ Code of Conduct
and the Educational
Guidelines of the ISAA. I have enclosed
$10 for annual Formal Chapter membership dues.
(Checks
should be made payable to: Icelandic Sheepdog Association of America.)
______________________________________________________
(Chapter President’s Signature and Date)
Print Name
__________________________________ Home Phone _______________ Term Years _____
Address
______________________________________________________________________________
E-Mail
_________________________________________
(Date and
attach signed Code of Ethics, Breeders’ Code of Conduct and Educational
Guideline.)