| BWTA Membership Application |
| Please print out and mail this form, with membership dues, to: BWTA c/o Mary Anne Hauck 1904 Milburt Drive Louisville, KY 40223-1212 Name(s):_____________________________________________ Address:_____________________________________________ City/State/Zip:________________________________________ Phone #/email:________________________________________ Breeds of dog(s) you own:_______________________________ ____________________________________________________ Sponsor:_____________________________________________ Are you interested in helping at events? Yes/No Which activities?______________________________________ Membership is $20 annually per household, checks payable to BWTA. For more information, email Mary Anne at: patterdale@aol.com. |