American Miniature Zebu Association P O Box 2095 Lady Lake, FL 32158 Phone: (352) 391-0977 amzaregistrar@gmail.com Membership Application Form Types of Memberships: Individual - Registration of cattle to be in one name only . . . . . . . . . . . . . . . . . . . . .$35/year Family - Registration of cattle may be in primary or secondary name . . . . . . . . . . . . . $50/year Business/Ranch - Registration of cattle may be in primary or Business/Ranch name . . . .$50/year Partnership - Registration of cattle may be in primary or both partner's names . . . . . . . $50/year Type of Membership Desired: IndividualFamilyBusiness/RanchPartnership Member Name(s): Business/Ranch Name (if applicable): Street Address: City: State: Zip Code: Email: Home Phone: Cell Phone: Website: As part of AMZA's business practices, your information will be listed in AMZA publications. Unless specifically stated below, by submitting this application that you are granting AMZA permission to list all or part of the following information. I do not give AMZA permission to list any part of the following information. Please read and checkmark: 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/we so certify. Date:
