NASC Memership Application

Online Membership Application
* Required Fields

Regular (own an American Shorthair) U.S. and Canadian membership dues are $25 per year. Regular foreign memberships are $35 (U.S. dollars) per year. Additional memberships may be obtained for individual members of the same household, if desired. Associates membership (does not own an American Shorthair) dues are $20 or $30 per year. Dues are payable January 1st of each year.

Application Date *

First Name: *

Last Name: *

Email Address: *

Street Address: *

City: *

State: *

Zip: *

Country *

Region *

Phone Number: *

Fax *

Cattery *

Color/Patterns

Web Address *

General Information

Are you a ASH Breed Council Member?

Yes No

Do you want to participate in the club?

Yes No

If yes, in what manner? Website updates? Newsletter?, other explain...

Dues

Number of Regular US or Canadian Memberships - 1 vote per membership

Price for Regular Membership(s) at $25 each

Number of Regular Foreign Membership(s) - 1 vote per membership

Price for Regular Foreign Membership(s) at $35 each

Number of Regular Associate Members

Price for Regular Associates at $20 each

Number of Foreign Associate Members

Price for Foreign Associate Members at $30 each

Do you wish to be linked on the Member Page?
Yes No

(If you paid in the past, you do not need to pay again.)

eMail link - $10

Website link - $10

Both eMail & Web links - $15

* Enter Total Amount to be paid:

Note: To pay with a credit card press PayPal on the next page after you submit this form or send a check to the club treasurer listed on the next page.

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