Belted Galloway Society, Inc.
Laura Glassmann, Secretary
PO Box 316, Bendersville, PA  17306-0316
Phone:  717/677-9655      Fax:  717/677-9755
<beltiecows@aol.com>
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Application for Membership
NAME
FARM
STREET ADDRESS
TOWN, STATE, ZIP
PHONE FAX
EMAIL TATTOO CODE

I wish to apply for o Regular Membership, o Lifetime Membership, o Associate Membership, o Junior Membership (Junior's date of birth _________________), and I agree to abide by the By-Laws and Rules of the Belted Galloway Society, Inc. as they now exist and may from time to time be amended.
 
DATE SIGNATURE

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Membership Fees
$550  Lifetime Membership
         (includes $50 Initiation)
$  50  Regular Membership Initiation
$  40  Annual Dues second year onward
$  25  Associate Membership
         (mailings only, no registry privileges)
$  20  Junior Membership (until 21st birthday)

Please mail the completed form above with proper fee to Secretary Laura Glassmann at the address above.

If you wish to learn more about the Society you may reach Laura at <beltiecows@aol.com>.
Important

Please fill out name and farm name exactly as you wish them to appear on all certificates, transfers, etc. Limit farm name so that it may be included as prefix to animals' names (animal's name may be a maximum of 25 spaces).

Animals must be tattooed before application is made for registration. Tattoos shall contain a year code (K for 2000) and up to three alpha characters designating your farm, separated by the animal's number. Subject to approval by the Society, please submit your farm designation code in form above.
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