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| ABOUT 4-H | VOLUNTEERS |
For a printable version of this document, click here
ME Association of Livestock Exhibitors - Membership Application
Please print. Do not abbreviate. Membership year July 1, 2008 - June 30, 2009
| Today's Date: | This form is NOT proof of membership. | ||||
| Name Primary Member |
First Name | Last Name | |||
| Spouse | First Name |
Last Name | |||
| Children Under age 18 Dependents 18 and over MUST have own membership |
First Name | Last Name | Age | ||
| First Name | Last Name | Age | |||
| First Name | Last Name | Age | |||
| Mailing Address All mail sent to Primary Member |
Street: | ||||
| Town: | State: | Zip: | |||
| Phone | Home: | Cell: | |||
| Email: | |||||
| Farm Name | |||||
| Animals Exhibited | i.e. Beef, Dairy, Show Steers, Sheep, Swine, etc. Please list all commodities shown. | ||||
| Membership Type Requested | Family $35.00 Includes Head of Household, Spouse and/or
Children under age 18 Individual $20.00 Single person 18 years of age of over. Includes dependents age 18 and over. |
New Renewal |
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| I give my permission to share membership information
with fairs and sanctioned events. Signature of Primary Member ___________________________________________________________ |
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| Office Use Only | Amount Paid: | Date Received: Time: | |||
| Card Sent: | Check # | Cash | |||
We do not accept memberships under a business name.
Please make check to: Maine Association of Livestock Exhibitors
**Returned Check Fee: $25.00**
Send form and fee to: Maine Association of Livestock Exhibitors
Kathy Haskell, Secretary
9 Harriet Avenue
Windham, ME 04062
207-892-5396
Please allow 3-4 Weeks for processing