Life Time Membership Form

Check out our new Life Time Membership Application form.  Having problems or just need something clarified?  Just drop us a line or give us a jingle on the phone!  605-491-0651

American Miniature Jersey Association & Registry 
PO Box 686, Herreid, SD 57632 

___________$250.00 for a family membership (includes all children under the age of 18) Please list family members (spouses) + children under the age of 18 to be included in family membership. 

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____________$200.00 for a single membership 

____________________________________Please list the name you want the membership in. 

 Address  _______________________________________________________________________________ 

 City/State(Providence)/Zip code ____________________________________________________________ 

 Phone___________________________________ Alt phone______________________________________ 


 Email____________________________________ Website _______________________________________ 
                                                                                         (if you would like to be listed on AMJA’s breeder page) 
Mail Check and Application to:  AMJA&R , PO Box 686, Herreid, SD 57632 
Phone 605-491-0651   Email : 
This form may be downloaded at Website: http:/ 

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