Finnsheep Breeders' Association
Membership & Breeders' Directory Application

Name:_____________________________Date:__________

Farm:____________________________________________

Address:__________________________________________

City:_________________________State:_____Zip:________

E-Mail:____________________________________________

Website:___________________________________________

Flock Prefix: (optional):________________________________

Scrapie Flock Number: (if participant)_____________________
    Scrapie Status: ( ) non-participant ( ) Voluntary ( ) Pending
                                 ( ) Enrolled ( ) Certified
    The FBA encourages breeders to participate in this program however participation
     is not required for membership in the FBA.

Breeder Type (check all that apply): ( ) Purebred Finnsheep
                                                               ( ) Cross-bred Finnsheep-list cross__________
                                                               ( ) Commercial Breeder; ( ) Wool/Other

Status: ( ) New Member $35.00; ( )Youth/Associate Member $10.00;
             ( ) Continuing Member $25.00 ( ) Continuing Youth/Associate Member $15.00
             ( ) Breeders Directory Listing $30.00 (FBA Members Only)
                    Write a brief description (20 words or less). If over 20 words a $1.00 per line
                    additional fee applies:__________________________________________
                    ___________________________________________________________
                    ___________________________________________________________
                    NOTE: Non-functioning e-mail and web addresses will be deleted from listings.
              ( ) Flock Prefix - $10.00/letter, one-time only fee. A flock prefix enables exclusive
                      use of your name, flock or farm name on registrations.

Annual Dues are payable by January 7th of each year. Members receive a free yearly subscription to "Short Tails" Newsletter (one per household), a copy of meeting minutes and an annual report. Members will receive copies of all other pertinent mailings and/or e-mails. FBA members receive a 50% discount on registration fees throughout the year with active membership.

Membership Agreement: I/We agree to be governed by the rules, regulations, constitution and bylaws of the Association as amended from time to time, and to keep written memorandum of breeding, exact birth dates, litter size of Finnsheep, and further, that I/we will furnish, promptly, any
information concerning same at any time when requested to do so by the Association.

Signed:____________________________________________Date:____________________
Directions:
1) Print this form
2) Complete & calculate payment
Finnsheep Breeders Assoc.
15603 173rd Street
Milo, IA 50166
3) Mail With Payment to:
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