CISC Membership Application

The Canadian Icelandic Sheepdog Club
Membership Application or Renewal Form

Name_________________________________________________

Please Print

I give the CISC permission to publish the following information in the membership directory. I understand that members are prohibited from advertising to other members or from using the membership directory for any commercial purpose. The purpose of the membership directory is so members can network with one another. Please check the information below which you agree to have included in the directory.___

Kennel Name (if applicable_____________________________________________

Mailing Address_______________________________________________________

City, State, Zip________________________________________________________

Home Phone (____)_____________________________________________________

Work Phone (____)_______________________

FAX (___)___________________________

Internet Email Address_________________________________________________

Personal Website______________________________________________________


Dog(s) Call name & DOB____________________________________________

Members of the Canadian Icelandic Sheepdog Club (CISC), are required to abide by the by-laws and all other Policies and Procedures of the CISC.


Signature__________________________________


Date_________________________

Dues:
Annual Dues- Pet Owner Membership - Newsletter/club information- Non-voting $10

Annual Dues- Single Membership - 1 vote $20

Annual Dues- Family Membership - 2 vote $30

Annual Dues- Single Foreign Membership Non-voting $10*

Annual Dues- Family Foreign Membership Non-voting $20**


All Foreign Members must either be in good standing or eligible for membership in their own National Icelandic Breed Club in order to Join the CISC*

The CISC is committed to the purebred Icelandic Sheepdog and its future in Canada.


Make checks or money orders payable in Canadian Funds to ***Jason Sharp*****


Please return completed application and dues to ****Jason Sharp*****


RR1 St Main
2369 Robillard RD
Bourget, Ontario Canada
KOA 1EO