Membership Form
Online Membership Sign-Up
 You can now sign-up to become a member online!

Fill out the form below
(Note: Please read membership agreement below sign up form before submitting)
 * are required fields
  *Type of  Membership:  
ADULT    Adult  
 $100.00 Annual Dues   		     Individual(s)  Partnership  Corporation
 
JUNIOR Junior 
$25.00 Annual Dues  		        Birthdate (mm/dd/yyyy): //
        
  (Can not join under a ranch or farm name and only one junior per membership)

Herd Prefix:

  1.   2. 3.
*First/ Membership/ Ranch/ Corporation Name:     
Last Name (If Applicable):     
*Address:     
*City:        
*State:        *Zip Code    
*Country:     
Telephone:     *Home                               Office
      ()-    ()-
     Fax
     ()-
*E-mail:         
Ownership of member.
If member consists of an individual(s) or partnership, list name and residence address of each
 individual or general partner
If member is a corporation, list name, resident address and title of officer.
Individual or Partner  
Name 1:    
Address 1:    
Name 2:    
Address 2:    
Name 3:    
Address 3:    
Corporation  
Name 1:      
Title 1:    
Address 1:    
Name 2:    
Title 2:    
Address 2:    
Name 3:    
Title 3:    
Address 3    

Other person(s) authorized to register and transfer cattle on behalf of member
(In addition to those listed above)
Name 1:    
Address 1:    
Name 2:    
Address 2:    
Name 3:    
Address 3:    
   

Click Here >   I have read and agree with the Rules and Regulations below
Please choose "Submit" if you have filled out all applicable fields and have read the
General Rules and Regulations


*Payments and dues are made on a secure system
 
 

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American Maine-Anjou Association :: 204 Marshall Road :: PO Box 1100 :: Platte City MO 64079-1100
Phone - 816-431-9950  :: Fax - 816-431-9951 ::  E-mail: maine@kc.rr.com