2011 AJCA Membership Application

All memberships for the 2010-2011 show year will expire on September 30, 2011

ARKANSAS JUNIOR CATTLEMEN'S ASSOCIATION 
 MEMBERSHIP DUES - $14.00

Please complete the application below and submit with a Check or Money Order
 payable to the Arkansas Junior Cattlemen's Association
Please renew my membership in the Arkansas Junior Cattlemen's Association
New Member     
 
Name:   _________________________________  Membership #  _______________

Birthday (MM/DD/YY): ___ ___/___ ___/__ __    Age as of October 1, 2010:   __________

Address:  ______________________________________________________________  

City/State/ZIP: ________________________________________________________

County:  __________________________   Phone:  ____________________________

IMPORTANT!!!                                           T Shirt Size Adult S M L XL  Child S M L XL

_________Check here if you do not want to be included on the membership list & on the  website.
 As a member of AJCA, I agree to abide by all rules of the Association.  I have been informed that these rules are published on the website (www.ajcattle.com).  If I violate these rules, I understand that points may be forfeited.  AJCA reserves the right to remove any points from members found to be in violation of AJCA rules.  The final decision concerning rules infractions rest on a majority decision of the AJCA State Director, Chairman of the Adult Advisory  Board and the AJCA President.  If any of these positions are vacant at the time a decision must be reached, the other two individuals will be responsible for making the final decision.

Parent's Name____________________________________________________

Member's Signature (Required)__________________________________

Parent's Signature (Required)________________________________________

Daytime Phone: ________________________  E-mail: ________________________

 
Note: Dues must be received in our office before you can accumulate points form Sanctioned shows. Points will start upon receiving payment. First show of the 2010-2011 show year will be the 2010 Arkansas State Fair
Mail Application with Check or Money Order to:

Carl Birkner, Adult Treasurer      339 Pigeon Roost Drive; Solgohachia, AR  72156