PLEASE PRINT FORM AND MAIL OR FAX TO:
Oregon Cattlemen's Association
3415 Commercial St., Suite 217
Salem, OR 97302
PHONE (503) 361-8941
FAX (503) 361-8947

Printer friendly .DOC format(Microsoft Word)


PLEASE PROVIDE THE FOLLOWING INFORMATION:

First Name:
Last Name:
Ranch/Company:
Street Address:
Address (Continue)
City:
State
Zip/Postal Code:
County:
Phone:
Fax:
Email:
Recruited By:
SELECT MEMBERSHIP TYPE:
Student: $15.00
Business/Association: $50.00
Association Council: $110.00
Producer:	None 1-150 hd $100.00 151-175 hd $105.00 176-200 hd $115.00 201-250 hd $125.00 251-300 hd $140.00 301-350 hd $155.00 351-400 hd 170.00 401-450 hd $185.00 451-500 hd $200.00 501-550 hd $215.00 551-600 hd $230.00 601-700 hd $250.00 701-800 hd $280.00 800+ hd $.35/Head Feedlot .15/Head
Additional Family Member with Producer Membership:  $20.00
BILLING INFORMATION:
Credit Card:	Visa Mastercard
Cardholder Name:
Card Number:
Expiration:
Signature:
Check#:

2008 Oregon Cattlemen's Association. All rights reserved.