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Application for Membership in the Montana Gelbvieh Association

Please enter all information as you would like it to be listed in the directory.

Name:_______________________________________________________

Address:_____________________________________________________

          _____________________________________________________

         _____________________________________________________

Phone: (____) _____-________ Fax: (____) _____-________

Email Address: ______________________________________________

Web Address: _______________________________________________

___ You may publish my email and/or web address.

___ Please link my email and/or web address on the MGA website.

___ Please use my email address ONLY to contact me. (Do Not make public)

 

Signature: _________________________________  Date: ____/____/____

 

Membership dues are $35.00 per year

Please send dues and application to:

Don Danell  

   1012 Maiden Road

   Lewistown, MT  59457