429 W. US Hwy 30, Valparaiso, IN 46385-9207  Phone:219-759-9665     Website: www.AmericanTeewsaterSheep.com

American Teeswater Sheep Association Application for Membership and Renewal

 

 

 NAME: ________________________________________________________ FLOCK# _________________

 

 

RANCH/FARM NAME: ____________________________________________________________________

 

 

ADDRESS: ______________________________________________________________________________

 

 

CITY: ______________________________________ STATE: _______________  ZIP: _________________

 

 

TELEPHONE: _______________________________ FAX: _______________________________________

 

 

EMAIL: ____________________________________ WEBSITE: ___________________________________

 

Membership runs from January 1 to December 31

Membership Fees:

 

                      Regular:__________  @ $20.00  = ____________

 

                      Associate: ________ @ $10.00   =  ___________

 

                      Junior: ___________ @ $ 5.00    = ___________

 

                                                                  Total:   $ ___________

Please make checks payable to the American Teeswater Sheep Association.

 

                      Mail to:          Barbara A. Kloese

                                                    429 West US Hwy 30

                                                    Valparaiso, IN 46385-9207

                                                    (219) 759-9665

                                                    kloese@gte.net