Online Membership Application

Online membership application for New Members Only.
Current Members, Do Not Use This Form.  Please login to your account if you need to Renew membership.  If you do not have a login please contact Lynn Kraut: Ausslyn@aol.com

PLEASE NOTE – MEMBERSHIP IS NOT EFFECTIVE IMMEDIATELY. Every new member’s name must be published in the newsletter and will go into effect for earning year-end award points, or USASA discounts,  30 days after publication.

Member applications are accepted subject to the approval of the membership and the Board of Directors of USASA. The Board review process for applicants whose membership has been protested in writing, referred to in Article 1, Section 3 of the USASA Bylaws, will include notification of the applicant as to the nature of the complaint and the identity of the complainant. Applicants will be given 30 days from the date of notification by the USASA Board to refute the complaint, at which time all information will be reviewed and the vote, as prescribed in the Bylaws, will be taken. The applicant and the protesting club member will be notified in writing of the Board’s decision. If not approved there is no obligation on the part of the Association to disclose the reasons for its decision. Your signature on the application (digital or hand written) signifies that you understand and agree to the above statement.

Error: First Name is required.

Error: Last Name is required.

Error: Street Address is required.

Error: City is required.

Error: State is required.

Error: Zip Code is required.

Error: Country is required.

Error: Phone Number is required.

Error: Email is required.

Error: Please pick Membership Type

Error: Junior Birthdate or Junior AKC number is not correct or missing

Error: Please except Terms and Conditions

Contact Information

First Name:  
Last Name:
Street Address:  
Address Line2:
City:  
State:  
ZipCode:
Country:
Phone Number:
Email:

Areas of Interest?

Pet   Breeding   Obedience   Rally   Conformation
Herding   Search And Rescue   Tracking   Agility
Judging   Handling   Stewarding   Rescue

Are you interested in a Member Club?

Would you like to recieve the USASA Email Newsletter?

Membership Type

Individual member (Journal, 1 Vote) - $60.00
Dual member (Journal, 2 votes) - $75.00
     Co-applicant First Name:      Co-applicant Last Name:


Canadian member (Journal, no vote) - $95.00
Foreign member (Journal, no vote) - $110.00
Jr member (no Journal, no vote) - $0.00
Jr date of birth: 
Jr AKC Number

Have you previously been a member?
No     Yes

Journal mailing Class

3rd Class
Canada
Foreign
1st Class (US Only) $15.00

 By submitting this application I agree to abide by the Constitution, By-Law's and the Code of Ethics of the United States Australian Shepherd Association and I am in good standing with the American Kennel Club.

Please check that your information is correct. When you click SUBMIT your application information will be sent to USASA and you will be directed to the payment page (Juniors will be directed to a confirmation page).

United States Australian Shepherd Association