Membership Application P.O. Box 121 • Holland, IA 50642 641.684.5291 (office) • 734.335.7646 (fax) www.suffolks.org • info@suffolks.org
Membership Type: □ Senior □ Junior (birthdate required below) See membership costs below
Name:
Date of Birth (Junior Only):
Farm/Ranch/Business Name: Address: City:
State:
Zip:
Home Phone:
Fax:
Primary Cell Phone (specify name) :
Cell Phone 2:
Primary Email (specify name):
Email 2:
Website: Facebook (Flock page): Flock Name:
(Limit 16 characters including spaces and punctuation) □ List my information on the United Suffolk Sheep Association website. (Senior membership only) VOTING PREFERENCE: □ Mailed Ballot DIGITAL SUFFOLK The USSA/UJSSA utilizes an online registry system, Digital Suffolk (www.digtalsuffolk.org). A login and password will be released from Digital Suffolk to the email address provided on this application. Members are encouraged to utilize this tool but not required and can process registry work via mail, email or fax. With this system, members are given an opt-in/opt-out option for mailing registration certificates. Note, with your access to Digital Suffolk, you can access and print registrations for your Suffolks at any time. More information regarding Digital Suffolk and printing can □ Electronic Ballot – email to _______________________________
be found at www.suffolks.org – click “Registration” header. Please check your preference on mailed registration certificates: □ I will print my registration certificates.
□ USSA print/mail transfers only.
□ USSA print/mail all registry work.
Membership Cost • NEW USSA (Senior) Membership is $50 . Special price! $25 savings! • UJSSA ( Junior ) memberships are $15. How To Pay : • Mailed check: USSA, PO Box 121, Holland, IA 50642 • PayPal: visit www.suffolks.org, top right-hand corner “Pay Online” • Credit Card: Call the Suffolk Office. Membership Application Submission: Completed applications can be emailed, faxed or mailed to the USSA Office. See top of application.
Where did you hear about the United Suffolk Sheep Association/United Junior Suffolk Sheep Association? □ USSA/UJSSA member □USSA website
□ Social Media (specify)_______________________ □ Other (specify) ____________________________
□ Print Media(specify)____________________________
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