Tarheel Old English Sheepdog Rescue

Dues	$20/year - individual $30/year - couple
Type	New Renewal
First Name
Last Name
Street Address
City
State
Zip
Home Phone
Work Phone
Cell Phone
E-mail
Occupation
Spouse/Partner Name
Spouse/Partner Occupation
Do you own an OES?	Yes No
Have you previously owned an OES?	Yes No
What kinds of dogs have you owned?
If you have other animals, list type, age and sex.
Areas of OES Rescue with which you are willing to help	Transport Home Checks Newsletter Phone Calls Foster Care Fundraising Shelter Identification/Pickup Mailings
Other areas you can help?
Special skills (arts/crafts/computers/adminstration)
Any further comments?