Please submit form along with $15 for annual dues to:

Erin Hischke, 8742 Red Bank Rd., Suring, WI  54174

AWFA Membership Application

Name: ____________________________________________
Address: ___________________________________________
___________________________________________
___________________________________________
Phone: _______________________
E-mail: _______________________

Dogs you own (include birthdate/sex and lines if known):
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

Which of these dogs is reproductively intact?______________________________________
____________________________________________________________________________

What do you use your dogs for? (circle below)
Working stock/farm work
Companion animal
Dog sports (agility)
Other _____________________

What skills, knowledge or interests do you have that you might like to contribute to the association?
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________

Would you like to be listed in the membership directory? (Please note that the directory is to be for the sole use of the members of AWFA) __________________
Additional information you wish to include in the directory (include things like breeding services, litters, adult dogs, rescue work, services like training, facilities for working stock, stock for sale etc....)
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________


As a member in AWFA I agree to uphold the tenents put forth in the mission statement:
“The function of the AWFA is to restore the historic farmcollie to the fullest extent possible, so that all who need this type of unique working dog will be able to find one.”

Signed ________________________________________
Date _________________