NPLC ASSOCIATE
ANNUAL
DUES
DATA FOR
2010 REPORT and DIRECTORY
Annual Membership $100.00
(For those who support NPLC with an ad in the directory or sponsorship of the annual meeting)
Membership is complimentary
Download, Print and Complete the PDF Form
Or print this page and complete the information requested below.
Name in which the membership should be listed.
________________________________________________________________________
Address_________________________________________________________________
________________________________________________________________________
Phone:______________________________FAX:_______________________________
E-Mail______________________________Web Site____________________________
Primary Contact Person___________________________________________________
E-Mail for Primary Contact if different______________________________________
Will you be sponsoring the annual meeting? Yes______No_______
Will you be advertising in the Directory? Yes______No_______
Sponsorship may be enclosed. Amount____________
DUE BY MARCH 1, 2010
RETURN TO:
ZANE AKINS, TREASURER
177 PALERMO PLACE
THE VILLAGES, FL 32159-0094
TEL: 352-259-6005. FAX: 352-259-6005 (NOTE: IF YOU FAX, YOU MUST CALL FIRST)
THANK YOU FOR YOUR SUPPORT OF THE NATIONAL PEDIGREED LIVESTOCK COUNCIL
.