Irish Wolfhound Association of the Greater Smoky Mountains

Membership Invitation

Please accept my/our Application for Membership in the Irish Wolfhound Association of the Greater Smoky Mountains. I/We agree to support and abide by the principles and goals of the Club.

Name: __________________________________________________________________

Address: ________________________________________________________________

_________________________________________________________________________

Phone: [home] __________________ [work, if applicable] _____________________

Email: [home] ___________________  [work, if applicable] ____________________

Supporting Householder Occupation ______________________________________

Second Occupation [if applicable] ________________________________________

Current number of IWs ____ pets ____ show

____ obedience ____ champions ____

CGC certified _____ Previous # of IWs Owned _____ Years as IW Owner _____

Other breeds currently owned _____________________________________________

Current number of: ____ pets ____ show

____ obedience ____ champions ____

CGC certified _____

Previous # of _____________ Owned _____ Years as _____________ Owner _____

Please circle all codes that apply directly to you or your family

DO=Dog Owner  B=Breeder (have reg'd a litter of IWs w/in past 3 years)

E=exhibitor  JR=junior showman  OBP=obedience participant

J=AKC judge (confirmation or obedience?).

What other IW club(s) are you a member of? ________________________________

__________________________________________________________________________

Other interests or hobbies?__________________________________________________________________

_________________________________________________________________________

Are you willing to assist in IWAGSM Yes / No [please circle choice] As:

Director / Officer / Committee Chair / Committee Member / other ____________

What areas of IW ownership are you most interested in? For example: education, showing, coursing, obedience, rescue, adoption, etc. _________________________________________________________________________

__________________________________________________________________________

Please choose one of the following:

_____ I am an IWCA member in good standing, or

_____ Please contact ___________________________ [IWAGSM club member] as my sponsor for membership.

I wish to apply for:

�Active Single Membership [For adults over 18] $15.00 per year [entitles member to l vote, all rights & privileges of membership, 1 subscription to newsletter]

You must plan on attending meetings - necessary for a voting quorum.

�Active Family Membership [For 2 adults over 18 who reside in the same household] $20.00 per year [entitles both members to one vote, rights & privileges of membership, household to 1 subscription to newsletter]

You must plan on attending meetings - necessary for a voting quorum

�Associate Membership--$10.00 per year [entitles member to l subscription to newsletter, but member may not vote, hold office or count in determination of quorum

�Junior Associate Membership--$10.00 per year [entitles member to l subscription to newsletter, but member may not vote, hold office or count in determination of quorum

�Rescue Donation--This is a strictly voluntary donation to the IWAGSM Rescue & Welfare Fund. All donations will be used for the health, care and placement of rescued IWs.

$______ Membership Dues, Enclosed

_______ Rescue Donation

$______ Total Enclosed

Signature(s)____________________________________ Date:___________________

From whom did you obtain this Invitation from ____________________________?

_____ Check here if you do NOT want your phone number(s) listed in the Club

Roster to be mailed to all members annually.

Mail completed form and membership fee to:

IWAGSM, c/o Melinda Harvey, Sec., 514 4th Ave E., Glencoe, AL 35905