Membership Application
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Maine Anjou Association of Michigan
2008 Membership Application & Renewal
April 2007- March 2008
 
Adult Membership Annual Dues: $25.00 per Year
Jr. Membership Annual Dues: $5.00 per year
(21 years and younger for Jr. Membership)
 
Please complete this form and mail to:
Ella Martyn, 3266 S. Jerome Rd., Ithaca, MI 48847
Please make checks payable to Michigan Maine - Anjou Assoc.
 
 
Name:_________________________________________________________________
 
Farm Name:____________________________________________________________
 
Address:_______________________________________________________________
 
City:______________________ State:____________ Zip:_____________
 
Phone Number:_______________________
 
E-mail:____________________________________________
 
Adult Membership: $25.00/year_________  Junior Membership/year: $5.00_______
 
Farm information:(Directions, Herd Size, Breeding Program, Awards and Recognition, Etc.)______________________________________________________________________
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