American Smooth Collie Association
Application for Membership
Please just print this form out and mail it to the person listed.

The American Smooth Collie Assoc. was formed in 1957 to encourage the owning and breeding of the Smooth Collie. Membership is open to all. Residents of countries other than the USA or Canada, please contact the person below (Kathleen Scheutzow) for foreign dues information. All dues, etc. are payable in U.S. funds.

Please make checks payable to: ASCA, and send with completed application to:

American Smooth Collie Association
c/o Kathleen Scheutzow/Dean Collura
3926 Foskett Rd.
Medina, OH 44256
Yearly dues: Single membership..........$25.00 
Dual Membership...........$30.00 ( 2 members of the same family)
Each Additional Member.......$4.00 
Junior Membership.........$5.00

Dues include a subscription to our annual magazine, Smooth Colliers, and our monthly newsletter, Smooth Talkin'.
Back Issues of Smooth Colliers, when available, may be purchased from the editor for $6.00

Membership Information:
Name:___________________________ Phone:___________ e-mail:__________________
Address_____________________________________________________________________
Enclosed$_______ (single)____ (dual)____ (junior)____
Age_______ Occupation______________________ Hobbies____________________

Please tell us your plans for your dog- breeding, showing, obedience, training, herding, whether with your smooths or other breeds. Include information about your smooths; names, sexes, colors, any titles, etc. Use the back of this sheet if you need. Go into as much detail as you wish.
 
 
 
 
 
 

I hereby agree to abide by the constitution of the American Smooth Collie Association. (For a copy of the constitution, please contact the ASCA Secretary). Note that revocation of AKC priveleges will result in revocation of ASCA membership. The AKC rules now include revocation priveleges for animal abuse conviction in a court of law.

Signed:___________________________________________________

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