New England Old English Sheepdog Rescue,
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.
Since all records are now in electronic form, we will appreciate very much your using the form on our
website. Please click on Renew/Join at http://neoesr.org .
Name: ____________________________________________________ New ____ Renewal____
City: ___________________________________ State: ________ Zip: ______________
Home Phone_____________________________ Work: ________________________________
EMAIL address: _________________________________________________________
Do you own an OES?_____________________ Previously?_______________________
Dog Name(s) - those living with you now:____________________________________________
Please list other household pets: ________________________________________________________
Please check areas of interest in helping RESCUE:
Transportation ____ Foster Care ____ Home Visits ____
Fund Raising ____ Newsletter ____ Education____ Other_________________________________________________
Special skills (artistic, crafts, computer, administrative): _______________________________________
Occupation & areas of interest: __________________________________________________________
Spouse/Partner First Name ___________________________ Last 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.
Enclosed: __________ Contributions are tax deductible to the extent permitted by applicable law.
Return to: Paula Frasier firstname.lastname@example.org
100 Johnson Road
Northville, NY 12134
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.