Application for Membership
United Kingdom Miniature American Shepherd Club
Kennel name (if applicable)
Kennel Website URL (if applicable)
MASCUSA membership number
All correspondence from UKMASC is sent electronically. If you do not have access to email please tick here
Note: This option is only available to UK residents.
Do you own a Mini American?
If so, how many?
Do you own a Mini Aussie?
If so, how many?
If you do not own a MAS, what are your interests in this breed?
Have you any particular interest or skills that might be of help to the club?
What other breed(s) of dog do you own?
Are you an active member of any other dog-related clubs or organisations?
If yes, please list.
Do you plan to breed from your MAS?
UKMASC have a 5* Breeders Scheme which is open to members who breed MAS. Details and an application form can be downloaded from our website.
Do you wish to be included on the UKMASC Breeders list?
(Standard Listing, not 5* Breeder)
Please tick your main areas of interest
Pet / Companion
Civil Service Dogs
Search & Rescue
Subscriptions run from 1st January - 31st December each year or part thereof.
New subscriptions received after 1st October will be carried forward to the following year.
(any person 14 years and over)
(two persons living at the same address)
(two adults plus children under 16 living at the same address)
5* BREEDER SCHEME free for members
If you are an existing UKMASC 5* breeder, would you like to renew your status for a further 12 months? (Subject to criteria being met.)
The preferred method of payment is Standing Order. However, we also accept Bank Transfers, Cheque and Paypal payments.
Standing Order/Bank Transfer to:
(RBS Account Number: 00616033 Sort Code: 83-18-40)
payable to 'UKMASC'
login to paypal and transfer payment to: email@example.com
*** PLEASE USE THE 'SEND MONEY TO FRIENDS AND FAMILY' OPTION ***
(*) Any Member convicted of charges of animal neglect, abuse or cruelty will be permanently expelled from the Club, and any Applicant convicted of like charges will be refused membership. The Board of Directors reserves the right to refuse membership to any Applicant whose conduct has, or is likely to, endanger the welfare, character, objectives, or purpose of the Club or the Miniature American Shepherd breed.
I (we) are applying for membership of the United Kingdom Miniature American Shepherd Club.
I (we) agree to abide by such UKMASC Rules, Regulations and Code of Ethics as are in force at the time.
I (we) understand that failure to do so can result in disciplinary measures as determined by the Board in accordance with club By-Laws.
This Application constitutes only consideration for membership and does not guarantee membership.
Data Protection: The information you supply on this form will be held on computer. This information will be used for the sole purpose of administering UKMASC and will not be disclosed to any third party except Legal, Bank and Insurance personnel with due authority.
Check this box to confirm you have read and agree to the terms and conditions above (*)
then click the button to submit
To submit a postal application, print this form, sign and send along with a cheque to:
The Secretary UKMASC, 12 Abbots Way, Shrewsbury, SY2 5QQ
The Committee will consider your application at its next meeting and will notify you accordingly. Signature: _____________________________________________________________