Georgia Junior Hereford Association

Membership Application

 

 

 

Name:_______________________________________

 

Address:_____________________________________

 

City,State,Zip:________________________________

 

Telephone Number:____________________________

 

Date of Birth:_________________________________

 

 

 

 

Membership Dues are $5.00 per year and are due in June.

Please send your dues along with this form to:

 

Ray and Debbie Hicks

660 Seaburn Vickery Road 

Statesboro, GA  30461