Sponsor: ___________________

SouthCentral Katahdin Hair Sheep Association

Membership Form

Date  ____________

New Member              Dues Attached  ($20.00)

Renewal                      Dues Attached (due Jan 1^st )

Dues & renewals are $20.00 per year with one vote per membership

• SCKA invites you to visit our website: http://www.hair-sheep.com
• SCKA will help you design a World Wide Web page for $125.00
• Each year thereafter with up to 5 changes will only be $100.00
• To link your own web page to SCKA is only $45.00 annually

• 1^st Year Web Design & Web Page ________ ($125.00)

Web Page ________  ($100.00)       Web Link ________  ($45.00)

Please PRINT name and address exactly as you would like it to appear on SCKA records and website.

Membership Name(s)__________________________________________

Farm/Ranch Name                                                                                         

P.O. Box or Street                                                                                         

City, State, Zip Code___________________________________________

Phone                                                                                                             

Fax                                                                                                                 

E-mail_______________________________________________________

Web address__________________________________________________

Please Mail your check and completed form to:

SCKA – Treasurer

5734 MS Hwy 570

Smithdale, MS 39664

updated :7/12/2010