Membership Form

Join or Renew:

Whether you are new to our organization or renewing your membership, please complete the entire form.
We are revamping our membership database and we need all of your information (again). Memberships run from Jan 1 to December 31 of the calendar year. Thanks.

Fields marked with * are required.

If you intend to just UPDATE your information, click here.

Your questions and comments are welcome at any time.

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:

* Membership:

New Renewal

Street Address:

City:

State / Province:

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:

Dogs Remembered:

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:

* Number of Household Members:

Single Two Person Household Three Person Household

* Type of Membership

2024 membership - View dues schedule Lifetime Membership - $500

If you would like to make an additional donation, please enter the amount here in numbers only. No $ sign.

* Please check which payment method you are using:

I am using PayPal I am mailing a check

* Please prove you're human.
What is 7 + 4 ?

Note that you can use your own credit card with PayPal.

Thank you

Top