White Dove Society International
Membership Application
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Address
Please enter your mailing address
Name of your Business
*
Business Name
How long have you been in business?
Time in Business
How many doves do you have in your loft?
Number of Doves
How many releases do you plan to do in a year?
Number of yearly releases
Website Address; if you don't have one just say NONE
*
Website
If you do not have a website, are you interested in getting one up and running?
*
Not Interested in a website at this time
I want a website in the near future
What geographical area will you be serving with your releases?
*
Service area
Describe the services you offer and explain what you would like your listing in the directory to say. We will not publish anything without your specific approval; just give us an idea of what you are looking for in your listing.
*
Are you a member of any professional organizations? If yes, which ones?
Do you agree to abide by the IWDS Professional Standards and Code of Ethics
*
Yes, I agree to abide
Not at this time
What is your level of membership?
*
Please Select
Gold: Enhanced Display in Directory
Platinum: Enhanced Display in Directory PLUS Complete Website
White (Simple Line Listing in Directory)
Select your level of Membership in the Society
Please complete the checkbox to ensure the privacy of this form
*
Email
example@example.com
Submit
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