American Miniature Zebu Association P O Box 2095 Lady Lake, FL 32158 Phone: (352) 391-0977 amzaregistrar@gmail.com Online Herd/Ranch Name Application Member Name (required) Street Address (required) City (required) State (required) Zip Code (required) Email (required) Home Phone Cell Phone Desired Herd/Ranch Name (no apostrophes or ampersands) 1st Choice (required) 2nd Choice (required) Please select a 2-4 alpha numeric association with Herd Name Example: White Cliff Farm = WCF or WF or WC. 1st Choice (required) 2nd Choice (required) 3rd Choice (required) Please read and check: I/we certify the above is a true and correct statement/representation. I/we desire to have the same recorded in the American Miniature Zebu Association Registry. I certify: (required) YesNo Date
