To become a member of the Champaign
County Cattlemens Association, fill in and mail
form along with cash, check, or money order
made out to Champaign Cattlemens
Association.

Membership dues are $20.00 per year.

Name __________________________

Address ________________________

City ______________ State _____  Zip _________

Phone ______________  Cell _________________

E-mail address _____________________________

Website address ____________________________


Please send check, money order or cash to:

Richard Sour                
214 Lafayette Ave.
Urbana, OH 43078

Make checks and money orders payable to:
Champaign Cattlemens Association.
Cattlemen's
Membership Form
 
Champaign County
Cattlemen's Association
Urbana, Ohio