Update Membership

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 bottom after you've entered your data.

If you must have a printable Application, click here.

* First name:

* Last name:

Street Address:

City:

State:

Zip/Postal code:

Country:

Home Phone:

Cell Phone:

Work Phone:

* Email Address(s):

Have you ever owned an OES?

Own one now:

Yes No

Have owned previously:

Yes No

Dog Name(s) - those living with you now:

Please list other household pets:

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

Transportation

Foster Care

Home Visits

Fund Raising

Newsletter

Annual Picnic

Annual Auction

Education

Other areas of interest in helping RESCUE:

Your occupation and areas of interest:

Spouse/Partner First name:

Spouse/Partner Last name:

Spouse/Partner's occupation and areas of interest: