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NATIONAL AMERICAN SHORTHAIR CLUB

Membership Application

 
                                        

 

      Date  

      *First Name                                                   *Last Name
    
  
       Address
    

       City                                                      State                          Zip
    

      Country                             Region#   Color Patterns                       Phone
    
      
       Fax                                                     *eMail Address
    
         
       Cattery
    

      Web Address
    

                                                                           

DUES

Quantity    Item Price
  $25 - Regular US or Canadian Membership - 1 vote per membership  
  $25 - Regular US or Canadian Membership - Each additional member  
  $35 - Regular Foreign Membership - 1 vote per membership  
  $35 - Regular Foreign Membership - Each additional member  

Topic

Do you wish to be linked on the Member Page?

$10 email link    $10 website link     $15 - Both   NO

NOTE: To pay with a credit card click HERE

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......

For NASC Club Use Only
   


Club Use Only

# votes____ Amount Received $ __________ Method Paid __________ Date Received _______

 

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will not be sold or provided to any other person or company.

 

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