Application

JOIN US!

MEMBERSHIP BREEDER MEMBERSHIP 

Thank You for your interest in the ISSDC. If you wish to become a member, please complete this application fully and submit. Breeders, select “Breeder Membership” above.

Member Application 2022

Section 1 : APPLICATION, Regular Membership

Application Type
Membership Type

Section 2 : MEMBER INFO

Name
Name
First
Last

FAMILY MEMBERSHIP
Family/Household Membership = two members same household. Household defined as residing at the same physical address.

List your Plus 1 Family Member and their immediate relationship to you and their email below.

renewing members can skip to Section 4 if no additional changes to submit

Section 3 : ABOUT YOU

How did you hear about the ISSDC? What attracted you to the ISSDC?
Are you a member of any other dog club(s)? If so, please list which clubs and whether or not you hold any positions in that club.
List both the registered and call name of your Shiloh Shepherd(s)
Do you have breedable or potentially breedable Shiloh Shepherd adults or puppies?
Registry
What registry(s) are your dogs registered with (check all that apply)
May we contact you about listing your dog(s) on our club website?
May we list your name on our public membership roster?

Section 4 : PAYMENT OPTIONS

Payment Option
I agree that my membership will be suspended in the event payment is not received in a timely manner.

Section 5 : ACKNOWLEDGEMENTS

As an ISSDC Member, you...
Message to our membership chair and/or your correct email address if noted differently above.

NOTE: All membership dues to be paid in $US Dollars

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Having trouble with this online form? please use one of the following Mail In Form
and return to the address listed on the form. [PDF]

The ISSDC, Inc. retains the right to refuse or revoke membership.