Membership Update Form

We appreciate any news in addition to any changes in contact information.

Please note in the ‘Dog Name(s)’ box any new dogs you now have, or any that you have lost.

Use the ‘Interests’ text box for other news.

Be sure to click the Submit Form button at the bottomafter you’ve entered your data.
If you prefer to print and mail this form, click here.

*First Name:

*Last Name:

Street Address:

City:

State:

 

ZIP/Postal Code:

Country:

 

Home Phone:

Cell Phone:

Work Phone:

*Email Address:

Have you ever owned an OES?

Own one now:  
Have owned previously:  

Dog Name(s):

Please list other household pets:

Please check areas of interest in helping RESCUE:
Check all that apply.









Other:

Your occupation and areas of interest:

Spouse/Partner
First Name:
   Last Name:

Spouse/Partner’s occupation and interests:

    Thank you!

    Thank you!