New England Old English Sheepdog Rescue,
Inc. |
Welcome to the New England Old English Sheepdog Rescue, Inc. (NEOESR, Inc.). Please read the
Goals and Purposes listed below. Your questions and comments are welcome at any time.
Name: ____________________________________________________ New ____ Renewal____
Address: ________________________________________________________________
City: ___________________________________ State: ________ Zip: ______________
Home Phone_____________________________ Work: ________________________________
EMAIL address: _________________________________________________________
Do you own an OES?_____________________ Previously?_______________________
Name(s) __________________________________________________________________________
Please list other household pets: ________________________________________________________
Please check areas of interest in helping RESCUE:
Transportation ____ Foster Care ____ Home Visits ____
Fund Raising ____ Newsletter ____ Other _________________________________________________
Special skills (artistic, crafts, computer, administrative): _______________________________________
__________________________________________________________________________________
Occupation & areas of interest: __________________________________________________________
Spouse's Name _____________________________________________________________________
Spouse's occupation & interests: ________________________________________________________
__________________________________________________________________________________
Signature(s) of Applicant(s) __________________________________________ Date________________
Click this attached schedule for the dues amounts. You can pay by check or via PayPal for any membership.
Please use PayPal for memberships outside the U.S. If paying by check, continue. . .
Dues: __________ Make checks payable to: NEOESR, Inc.
Donation: __________
Enclosed: __________ Contributions are tax deductible to the extent permitted by applicable law.
Return to: Marilyn Brine Gilmour JMGMBG@comcast.net
200 Winter Street
Holliston, MA 01746
Note: This form will print out as 1 page using Internet Explorer; a little more than 1 page with Netscape, Firefox. If you need a form mailed to you, contact above.
New England Old English Sheepdog Rescue, Inc. |