Sponsor:_______________________________
Southcentral Katahdin Hair Sheep Association Membership Form
Date: _______________________ New Member Dues Attached($ 20.00)
Renewal Dues Attached( due Jan 1st)
Dues & renewals are $ 20.00 per year when paid before January 31. Renewals- a $ 5.00 fee is due if paid after January 31 in order to be re-instated. 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
• 1st 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
Melissa Baxley
1678 County Rd 19 South Samson, AL 36477
updated: July 5th, 2013