Application for Junior Membership: Holstein Association USA<

If you are interested in becoming a member of the National Junior Holstein Association just fill out the membership form below. Then you can print it out, sign it, and send it with a $15 one time membership fee to:

Holstein Association USA
1 Holstein Place
Brattleboro, VT 05302-0808

Or fax it to us at (802) 254-8251 and we'll bill you accordingly.

Name

Address

City

State Zip -

Phone Number - -

Holstein Account Number

Prefix Name (one you are authorized to use)

Birthdate (month) (day) (year) - -

Signature of Junior Member

________________________________________________________________
(signature must be exactly as it will appear on all certificates or applications)

By signing you are agreeing to follow the rules, regulations and bylaws, and to uphold the standards of the Holstein Association. Junior membership automatically expires on your 21st birthday.

Please send me information on identifying animals with the Holstein Association.

Name of parent or guardian

Address of parent or guardian if different from above

City

State Zip -

Holstein Account Number (For billing purposes only)

Print out the filled in form, sign it and
send it to us with a $15 one time membership fee to:
Holstein Association USA, 1 Holstein Place, Brattleboro, VT 05302-0808
or fax it to us at 802-254-8251, and we'll bill you accordingly.