Maremma Sheepdog Club of America
Debra Powers,  Secretary / Treasurer
6211 Lake Gulch Road,  Castle Rock, CO. 80104
720-733-3618
Email:  maremmaclub@aol.com

Application For Membership

Complete form, print and mail it (via the postal service) to the address
at the top of this page. Enclose check or money order in U.S. funds!
Your Name:
Registered Farm Name (if applicable):
Street Address:
Town:
State/Province:
Country: Zip or Country Code:
Phone: Email:

LIST ALL OF THE MAREMMAS YOU OWN

Dog's Name:
Birth Date: Sex:
Registration #(s):

Dog's Name:
Birth Date: Sex:
Registration #(s):

Dog's Name:
Birth Date: Sex:
Registration #(s):

Dog's Name:
Birth Date: Sex:
Registration #(s):

Dog's Name:
Birth Date: Sex:
Registration #(s):

Dog's Name:
Birth Date: Sex:
Registration #(s):

Dog's Name:
Birth Date: Sex:
Registration #(s):

Dog's Name:
Birth Date: Sex:
Registration #(s):

Dog's Name:
Birth Date: Sex:
Registration #(s):

Dog's Name:
Birth Date: Sex:
Registration #(s):

FULL MEMBERSHIP In MSCA places your Name, Address, Phone Number, Information about your Maremmas, Guarded Livestock, Litters, and your comments in the MSCA Membership Directory.

You may change the contents of your Membership Directory listing at any time by submitting the revisions on this form.

Membership Directories are updated weekly and are included in every packet of information sent out in response to our advertising.

 

FILL THE AMOUNTS YOU OWN OF EACH BELOW

# of Acres:
Sheep: Llamas: Alpacas: Pigs:
Cattle: Angora Goats: Milk Goats:
Pygmy Goats: Boer Goats: Meat Goats:
Ostrich: Emu: Turkeys: Fowl:
Other Animals:

FULL MEMBERSHIP: $35.00 per year pro-rated quarterly; individual membership in U.S. Currency. An applicant must own a minimum of 1 purebred Maremma registered with MSCA. Full members receive an extended, changeable Membership Directory entry.

ASSOCIATE MEMBERSHIP: $17.50 per year pro-rated quarterly; individual membership in U.S. and Canada. All other countries $25.00 per year in U.S. currency. Associate members cannot vote and are not required to own a purebred Maremma, as are Full Members. They will receive an entry in the Membership Directory (Name, Address, Phone Number, and Registered Farm Name).

DIRECTORY ENTRY, LIMIT 50 WORDS ABOUT YOUR MAREMMAS ONLY:





FULL MEMBERSHIP $35.00

ASSOCIATE MEMBERSHIP $17.50

ASSOCIATE MEMBERSHIP Outside U.S. or Canada $25.00

Remember to enclose check or money order in U.S. funds!

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