TXOESR Membership Application

TXOESR Membership Application
Name

First NameLast Name
Membership Type
Home Number

Area CodePhone Number
Cell Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail
Spouse Name

First NameLast Name
Do you own an OES?
Previously owned an OES?
List all pets living in the household. Include type of pet, name, breed, age, sex and spay/neuter status.
Which of the follow are you interesting in helping us with?
Special Skills
Other interests
Comments
Membership dues are $25

Pay by Check -

Make Checks payable to:
Texas Old English Sheepdog Rescue, Inc.
PO Box 1347, Argyle, TX 76226

Note: TXOESR, Inc has the right to refuse membership to anyone who chooses to disrupt meetings, waste precious time and try to distract the focus of our mission.

Please note on your check: Membership

Pay by Credit Card -

USDMembership by Credit Card