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GEORGIA

SANTA GERTRUDIS ASSOCIATION

 ANNUAL DUES ARE DUE EACH YEAR BY JANUARY 1

APPLICATION IS HEREBY MADE FOR MEMBERSHIP IN THE GEORGIA SANTA GERTRUDIS BREEDERS ASSOCIATION TO BE ISSUED IN THE NAME OF:

 

 

 

IF ELECTED I AGREE TO BE GOVERNED BY THE RULES AND REGULATIONS, CONSTITUTION AND BY-LAWS OF THE ASSOCIATION AS AMENDED FROM TIME TO TIME:

 

PLEASE CHECK TYPE OF MEMBERSHIP:                                             

 

___BREEDER MEMBER    $35.00                                                                 

 

___COMMERCIAL MEMBER   $35.00

 

 

___ASSOCIATE MEMBER   $35.00

 

 

NUMBER OF ANIMALS IN HERD:

 

REGISTERED_______

 

COMMERCIAL ______

 

STAR FIVE ________

 

JUNIOR MEMBERS PLEASE INDICATE BIRTHDATE _________________________

 

 

APPLICANT’S SIGNATURE: ___________________________________________

 

FIRM or FARM NAME: _______________________________________________

 

SGBI HERD NUMBER: _______________________________________________

 

STREET or P.O. BOX: ________________________________________________

 

CITY: _____________________STATE:______________ ZIP CODE: __________

 

PHONE NUMBER: _______________ FAX: ______________

 

E-MAIL:_______________________ WEB SITE: __________________________

 

DATE: __________________

 

 

PLEASE REMIT TO:

 GEORGIA SANTA GERTRUDIS ASSOCIATION

 631 FOUR POINTS ROAD

JACKSON, GA 30233

 

AN AFFILIATE OF SANTA GERTRUDIS BREEDERS INTERNATIONAL