____    I want to be a DBCAA Voting Member.  Enclosed is $25 Lifetime Membership.  (Subject to $10 activation/Bulletin subscription fee.)  I own #_____ registered and/or #_____ breeding up recorded cattle.

____    I am a Lifetime Member, enclosed is my $10 activation/Bulletin subscription fee.

____    I enclose $10 for Associate Membership (non-voting) to keep in touch with DBCAA through the Dutch Belted Bulletin.

Note: You may subscribe for more than one year at a time, eg. $30 for three years.

____    I enclose $5 for 50 DBCAA brochures with space for my farm name and address.

____   Please send applications for registration of my purebred or breeding up cattle.

Name: ___________________________________     
        
Address: __________________________________            
                                                                                                            
_________________________________________        
                 
Phone: ____________________________________

Please make payments out to DBCAA/ALBC.

Mail to: DBCAA
PO Box 477
Pittsboro, NC  27312