Oregon Sheep Dog Society Membership Form

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Please enter your information, print the form and mail with a check to:

Donna Grimes PO Box 679 Athena, Oregon 98713

Make checks payable to OSDS in US dollars

If you have questions email Donna at: djgrimes30@gmail.com

 

First Name: ______________________ Last Name: ______________________ 

Email: ____________________________________________________________ 

Phone: ________________________________ 

Address: ___________________________________________________________ 

City: ___________________________ State: ________ Zip: ________________ 

 

Membership Type: __ Single $20 __ Family $30 __ Lifetime Single $200 __ Lifetime Family $300 If you are signing up as a family, please provide all family member names. 

 

Family Member 1: _______________________________________ 

 

Family Member 2: _______________________________________ 

 

Family Member 3: _______________________________________

 

Family Member 4: _______________________________________ 

 

Family Member 5: _______________________________________