Please PRINT out this form, fill it out COMPLETELY, and MAIL it in (with payment) to join today!
Do NOT send it by email please.

Please Print Clearly -- Please Allow 4-6 Weeks To Process

The United States American Wolfdog Association, Inc.

Membership Application

• ___New Member
• ___Family Membership
• ___Membership Renewal #____________
• ___Address Change - Member #____________

You do NOT have to own an animal to join USAWA. All you need is to want to learn and care about these animals.

You MUST be a member to register an animal with USAWA.

1.) Name_____________________________________________________________________
Address______________________________________________________________________
City__________________________________ State________________ Zip________________
Phone(_____)______________ Email Address (if any)__________________________________

2.) How did you hear about the USAWA, or from whom?__________________________________

3.) Do you have any canines that you would like to register with the USAWA? __________________

4.) How many wolves or wolfdogs do you own?_________________________________________

5.) Do you need additional Registration Applications? If so, how many?_______________________

• What are your main interests in wolfdogs?
  Companion_______ Working_______ Research_______ Obedience_______ Show_______
  Other_____________________________________________________________________

• Are you interested in participating in organizational activities or duties?___________________

• Occupation________________________________________________________________
  Interests___________________________________________________________________
  Skills_____________________________________________________________________

If you would like your Veterinarian or local library to receive EDELWOLF, please provide their name and address in the space below. (Be sure to add the discounted cost of $10.00 to cover printing and postage.)

Any applicant who will be producing even one litter in the forthcoming year MUST apply as a Breeder Member.

• _____  Membership $25.00/year__
• _____  or 2-year Discount $45.00
• _____  Family Membership - add $10 per year for each family member.
  Include full name of each member in line 1.) above.
• _____  You Must check here if you are or want to be a Breeder Member
• _____  Send EDELWOLF to my vet or local library (add $8.00/year)

   (____)  Legal Fund Donation $______________
   (____)  Rescue Fund Donation $______________
   (____)  Educational Fund Donation $______________

All information submitted to USAWA is kept strictly confidential. USAWA reserves the right to refuse or terminate membership for reasons covered in the Organization's charter or bylaws. A $25.00 fee will be charged for any returned or NSF checks.

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