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Membership Name:
__________________________________________________________
(Farm of Individual Non Transferable)
Acting Agent(s): ___________________________________________________________
Title: ___________________________________________________________
Address:
_________________________________________________________________
City:
________________________________________ State: _______ Zip:
__________
Telephone:
_______________________________________________________________
Signature:
______________________________________________ Date: ____________
Life Membership: $500.00 One time
membership fee.
(or six consecutive annual installments of $100.00)
Annual Membership: $100.00 Annual fee.
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Vote
on issues | Hold an office or serve on executive committee
Make late entries |
Stalling Preference
If dues are not current
active membership will be revoked
Make checks payable to
Simmental Breeders Sweepstakes
Mail to Simmental Breeders Sweepstakes
PO Box 143 - Universal, IN 47884
765-832-2697
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