Membership Application

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AHTA Member Application & Renewal

Dues are payable on or before the 1st of January of each year. The membership of any member who has not paid his/her dues by June 31 of any calendar year shall lapse.

You can submit your payment via Paypal or Zelle via ahta@ahta.info after you submit your membership application or email poiseaussies@gmail.com for an address to mail a check to.

Membership Application

* Indicates required field

Membership *

New Member Renewal

Type of Membership? *

Single- $15.00 Charter- $15.00 (Joined before 1/1/03) Family/Household- $20.00 Honorary- $00.00 (Granted by Board Vote) Junior- $00.00 (non-voting) Breeder Gift- $00.00 (Provide breeders name)

Names of family Members *

Names of family members applying for membership.

Gift Membership- Breeders Name *

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number (000-000-0000) *

Email *

Personal information updated? *

Click here if your information has changed

Please provide your Kennel name and website for our member pages. *

Do you want the following to be posted on the website so interested parties can contact you? *

Phone Number Email

What is your current level of participation in the breed? *

Pet only Breeder Exhibitor (Any Conformation or performance event) Judge

Please let us know what you are interested in. *

Conformation Obedience/Rally Agility Pet owner/ Fancier Breeding Nose Work Lure Coursing Terrier Racing

Other sport *

Are you interested in volunteering for a committee? If so please let us know which one. *

Health & Genetics Membership Newsletter

Payment Type *

PayPal- Payment accepted after submittal Check- Address will be emailed to you Zelle via ahta@ahta.info Not Required

I/We hereby agree to abide by the Constitution, Bylaws and Code of Ethics of the Association and the rules and regulations of the United Kennel Club.

Electronic Signature of Applicant/s and Date *

Submit

AHTA Member Application & Renewal

Membership Application

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