SSDCA Membership

Join the SSDCA

Step 1: Please fill out the New Member Application below.
Step 2: Use our convenient 'Add to Cart' button at the bottom of the page to process your payment and complete the transaction.

New Membership Fee is $35.00 for 1 year.

SSDCA New Member Application

* Indicates required field

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Email *

Occupation *

Registered Kennel Name (if any) *

Website address (if any) *

References - name and e-mail / phone number *

Are you now or have you been a member of any other clubs? *

Yes No

If YES please list the name and type of club(s). *

Would you be interested in serving as a Chapter official or committee member? *

Yes No

Is there any particular service you can offer to the club? *

Do you currently own a Shiloh Shepherd *

Yes No

If Yes, please list the name(s) of your Shiloh(s) and their breeder. *

Do you plan on purchasing a Shiloh Shepherd in the future? *

Yes No

Please outline your requirements for the dog you will purchase next. *

Please provide a short statement of why you would like to become a member. *

Please provide a short statement of what you expect from / can do for the club. *

Any additional information you would like to share? *

Please click Submit to send your New Member Application to the Membership Coordinator, then continue below for Payment Options.

Submit

SSDCA NEW MEMBERSHIP

35.00

SSDCA Inc.
P.O. Box 61
Machias, NY 14101

ssdca_new_member_app.pdf
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