Individual $25.00 Single person 18 years of age or

ME ASSOCATION OF LIVESTOCK EXHIBITORS~ MEMBERSHIP APPLICATION
JULY 1, 2015 ~ JUNE 30, 2016
Please print. Please fill out completely. Incomplete information or illegible writing may cause delays.
~ This form is NOT proof of membership. ~ Form invalid after 6/30/16 ~
Name
First Name
MI
Last Name
Birth Date
First name
Last Name
Birth Date
First Name
Last Name
Birth Date
First name
Last Name
Birth Date
First name
Last Name
Birth Date
Primary Member
Age 18 or older
Spouse
Children
Under age 18
Dependents
18 and over
MUST have own
membership
Additional children listed on the back.
Mailing
Address
Street:
All mail sent to
Primary member
Town:
State:
Phone
Home:
Cell:
ZIP:
Email:
Farm Name
Animals
Exhibited
i.e. Beef, Dairy, Show Steers, Sheep, Swine, Equine, Poultry etc. Please list all commodities exhibited.
New
Family $40.00 Includes Head of Household, Spouse
Membership
Type
Requested
and/or Children under age 18 .
Renewal
Individual $25.00 Single person 18 years of age or
over. Includes dependents age 18 and over.
RETURN CHECK FEE IS $35.00
www.mainelivestockexhibitors.org to join online
Date Application Received:
For BOARD
MEMBER use
only
Card Sent via: USPS
emailed
hand delivered
Amount Paid:
Valid only when signed by MALE
BOARD MEMBR
Check #
DATE:
Cash
DATE of signature:
TIME:
AM
We do not accept memberships under a business name.
Check payable to: MAINE ASSOCIATION OF LIVESTOCK EXHIBITORS (MALE)
And mail to: M.A.L.E. C/O Amanda Wacome
97 Canaan Road
Clinton, ME 04927
[email protected]
FOR MORE INFORMATION ON MEMEBERSHIP ONLY PLEASE CALL 207-399-3255
For fair/exhibiting related questions call appropriate fair official www.mainefairs.org.
PM