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!  amjaregistry@gmail.com  605-491-0651

AMJA&R  
American Miniature Jersey Association & Registry 
PO Box 365, Roscoe, SD 57471 
605-491-0651 
 
LIFETIME MEMBERSHIP APPLICATION 

___________$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 , 14285 342nd Ave, Roscoe, SD 57471 
Phone 605-491-0651   Email :  amjaregistry@gmail.com 
This form may be downloaded at Website: http:/www.miniaturejerseyassociation.com 

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