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Name |
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Membership |
Individual Family Youth Youth Date of Birth (MM/DD/YYYY):
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Family Memberships Only
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Please list Family Members and ages of children. |
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Street |
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Home Phone |
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Farm Name |
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Farm Web Site |
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Comments |
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Membership Agreement: I, as a member of the NATIONAL MININUBIAN BREEDERS CLUB, agree to abide by the Constitution and Bylaws of the organization and to work toward and to uphold the goals as set forth in the "Statement of Purpose." I understand that this membership is entitled to one vote, regardless if my Membership is that of a Single or a Family. Agree Disagree |
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AFTER pressing the Submit Button, you can select the appropriate button below to pay thru PayPal or mail a Check to: Kim Albano, Treasurer PLEASE MAKE CHECKS PAYABLE TO:
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