MARYLAND STATE HOLSTEIN MEMBERSHIP APPLICATION

 MEMBERSHIP FEE SCHEDULE --- Dues payable by January 31, 2005

Minimum Fee ---- 0 Cows--- $35.00. Then add 40 cents per cow for each
Registered Holstein Ancestry Females that has freshened. No maximum fee.

 Membership includes subscription to:

Weekly Farmshine, Southeastern Holstein News, Newsletters,
MD Annual Booklet, All Maryland Calendar.

 Registration Fees are Lower for Individuals who are both National and State Members:

Number of applications needed: Registry_______, Transfer________, Junior_________

 NOTE: Please list National Holstein Account number in space indicated below!

Also, please list your name for State Membership exactly the same way as you are
listed for National Membership --- and register cattle the same way.

 Your address should be where you want your Farmshine etc. mailed to you

New State Member? ___yes    ___no           Minimum Membership Fee 
$35.00
National Mem.? ___yes ___no Acct.#__________   Plus total Registered Holstein Ancestry Females that have freshened ____x$.40
$ ______
Name_______________________________     Donation to Scholarship fund         
$_______
Social Security #______________________    Listing on MD Web Site @$20.00 
$_______
Farm Name _________________________      After JANUARY 31, 2005  
Address_____________________________   RENEWALS Add $5.00 late fee   
$_______
City_________________Zip Code________   (does not apply to new members)  
County_____________________________          
Phone Number________________________   Add Entire Column for Total--------
$_______
Fax Number_________________________    
 

2005 MARYLAND HOLSTEIN ASSOCIATION ANNUAL MEMBERSHIP

APPLICATION DUE BY JANUARY 31, 2005

 SEND APPLICATION TO:
MAYLAND HOLSTEIN ASSOCIATION
  ATTN: Donna Reese
  1602 Uniontown Rd.
  Westminster, MD 21158     

 
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Click here to download Membership form as a Word Document (right click to save to your hard drive)