Membership Application Form WBA Constitution & Bylaws WBA Member Code of Ethics Interested in becoming a member? Fill out some information and we will be in touch shortly! We can't wait to hear from you! Name * First Name Last Name Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Email * Phone * (###) ### #### What membership are you interested in? * Individual Membership $35 Joint Membership $65 Junior Membership $ Free Foreign Membership $35 If joint, please write the name of the second person requesting membership in your household. If joint, please list second email if different from first. If you have a Junior, please write the name below. If you have a Junior, please list their email if different from yours. Who is your sponser? * Please list any other animal organizations you have been, or are currently, a member of. Have you ever been under disciplinary investigation in an animal organization before? If yes, please explain the circumstances and the outcome. * Do you currently own a Beauceron? * What working activities do you participate in with your Beauceron? * I have read and understand the current WBA Constitution, Bylaws, and Member Code of Ethics? * Yes No I agree to accept electronic communication as the official means for the Working Beauceron Association, including email, phone, audio/video conferences, or other Board-approved methods. This will be used for meeting notifications, dues notices, minutes, newsletters, and announcements. * Yes No After application approval the WBA will send you a link for payment and member login set up. If you have any further questions or comments please let us know! Thank you!
