2008 MEMBERSHIP FORM
Please
send to: Rita Hankins,
Name______________________________________________________________
Address____________________________________________________________
City_________________________State_____________Zip___________________
Phone_______________________Email___________________________________
Type: Youth
($10) Single
($15) Family/Farm ($20)
List
children’s names, birthdays and APHA Youth numbers below:
Name Birthdate APHA
Youth Number
_______________________ _______________ _________________
_______________________ _______________ _________________
_______________________ _______________ _________________
_______________________ _______________ _________________
New for 2008: APHA
membership is required for all exhibitors to show.
List individual’s names and 2008 APHA numbers for those
who will be showing this year.
Name APHA Number
______________________________ ______________________
______________________________ ______________________
______________________________ ______________________
______________________________ ______________________
Laminated
“Permanent” Numbers-$5 each:
We
sell permanent numbers each year with all proceeds going to the IL Youth Club.
If you would like to purchase numbers for 2008, please indicate what number(s)
you would like below and include $5
for each one you choose. If that number is available, we will have it laminated
and available for pick up at the first show. If you had bought one in 2007, that number
will be available to you for purchase again until July. If it’s not
re-purchased, it will be released.
Number(s) requested:
______________________________________________________________________
Membership fee: $___________
Permanent # fee(s): $___________
Total amount
enclosed:$_______________ Check
#: ____________