Prime_Time_Fall_2019

Membership No. _______________ Issued by Association

application for membership

128 East South Main | PO Box 487 | Flatonia, Texas 78941 (361) 238-7218 Office | (361) 333-8589 Fax | www.akaushi.com | info@akaushi.com

Date _________________________________________ Holding Brand (please draw) _ ___________________________________________ Brand Location ___________________________________ Permanent ID Location (i.e., left ear, rt. hip, side) __________________________ Member Name _ ____________________________________________________________________________________________________ Ranch Name _ ______________________________________________________________________________________________________ PLEASE indicate whether the membership is to be under the member name or ranch name.

Parent(s) Name(s) – (If Junior applicant) _ ________________________________________________________________________________

Mailing Address _____________________________________________________________________________________________________

City ___________________________________________________ State _____________________ Zip Code _ _______________________

Home Phone ___________________________ Work Phone __________________________ Cell Phone _____________________________

Fax Number ___________________________ Email _ ______________________________________________________________________

Signed ____________________________________________________________________ Date of Birth _ ___________________________ For Juniors Only I hereby make application to the American Akaushi Association for membership to be issued in the name given above. I agree to be bound by and abide by the Rules of the Association, which include Whole Herd Reporting Assessment Fees, and Amendments or Modifications, thereto which may, from time to time, be adopted. By signing this application for membership, applicant irrevocably waives any claim against and grants an absolute release to the American Akaushi Association, any member, employee or agent of the Association, for any act or omission in connection with the Association, including but not limited to, any enforcement of the rules and regulations presently in effect or hereafter adopted by the Association.  Please include my name and contact information in the Association’s Directory.  Do not publish my email.  Do not publish my phone numbers.  Do not publish any information. Fee Schedule Regular Membership : Jan.-Dec. $100 | April-Dec. $80 | July-Dec. $60 | Oct.-Dec. $30 Lifetime Membership: $1,000 Junior Membership: $25 per year Associate Membership: $60 per year

Total Due: $ _____________

If paying by credit card, please fill out the following: Name on Card _ ________________________________________________  Visa  MasterCard  Discover  American Express Card Number __________________________________________________ Expiration Date ______________________ Security Code _ ____________ Signature _____________________________________________________

American Akaushi Association (AAA) membership is open to anyone who is interested in Akaushi cattle and the purposes of the association. AAA members are focused on producing high-quality seedstock and commercial cattle that produce high-quality, healthful beef. As an AAA member, Akaushi breeders have the opportunity to take advantage of the various programs and services the association offers, including registration, DNA testing, certification, marketing, research and development, and advertising.

Please return Membership Application and payment to: American Akaushi Association | PO Box 487 | Flatonia, TX 78941

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www.akaushi.com • Fall 2019