Membership Application

Membership Type:


New Member/Renewal:  
Name:
For New Applicants from outside of the United States, Canada and Mexico, please supply the name and contact information of a sponsor who is a current AWTA member.
Sponsor Name:
Sponsor's Contact:
Street Address:
City:
State:
Zip:
Phone:
Email:
Breed(s) owned:
Breed club(s) you belong to:
Have you worked your terrier or Dachshund?    
If YES, please describe work:
May we publish your information in our membership directory?    
The directory is available to members only.
State briefly your reasons for wanting to join the AWTA:
Please re-enter your name:
This serves as an electronic signature
Submitting this form constitutes an agreement to abide by the Constitution and Bylaws of the AWTA.
PayPal Your membership application will be sent securely to PayPal where you may pay using your PayPal account or with a credit card.