Name _________________________________________________

Farm Name ____________________________________________

Mailing Address  ___________________________________________________

Telephone (Day) __________________________  
(Night) ________________________ 

Fax ____________________________ 

Email ______________________________________________

Farm web site ____________________________________________________

New Member ______                          Renewal_______                    
Junior _______ 

$30.00/year or $50.00/ two years
Junior membership is $10.00.

Mail check and completed application to: 
Ronnie Osteen, Sec.
633 Molino Road
Fayetteville, TN 37334