Membership Application Form

Note: Stud name can not exceed 14 characters, including spaces. Stud tattoo is 3 characters long using standard letters or numbers, not symbols.

*Membership type

*Region

Title

Given name or initials

*Surname

*Postal address

*Suburb/Town

*State

*Postcode

Residention address (if different)

Suburb/Town

State

Postcode

Phone

Fax

Mobile

*Email

DO NOT give out email address for Publicity Material

Nominee is only required if membership is in the name of two initials eg. J.K. & L.M. Bloggs - J.K. Bloggs is the nominee

Nominee

Date of birth is only required for Junior members

Date of Birth

In general a Stud Prefix is the name of a breeder's property and when registered, is to be placed before the name of each animal bred in the stud. Place in order of preference - please keep to no more than two (2) words.

Stud prefrix 1

Stud prefrix 2

Stud prefrix 3

A tattoo brand is a distinguishing mark in the form of the breeder's letters or symbol placed in the cow's or bull's left ear. Place in order of preference - three (3) letters maximum.

Tattoo Brand 1

Tattoo Brand 2

Tattoo Brand 3

Type this verification word here:

By submitting this form I make application for membership of English LongHorn Australia Inc and I agree to be bound by the rules and regulations of the Association.

Membership Application Form

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