Name __________________________________________________________________ 

Farm Name ______________________________________________________________ 

Mailing Address  __________________________________________________________

Telephone (Day) __________________________   (Night) ________________________ 

Fax ____________________________ 

Email ___________________________________________________________________ 

Farm web site ____________________________________________________________ 

New Member ______                          Renewal_______                     Junior _______ 

Please make $25 checks payable to Alabama Simmental Association.

Mail check and completed application to: 
Alabama Simmental Association
Steve Ballard
P.O. Box 40
Samantha, AL  35482