Name 

 

Farm Name 

 

Address  

 

City 

 

State   Zip

 

Telephone  Fax

 

Work Phone Work ext. 

 

E-mail 

 

County

 

ASA# 

 

New Member Renewal  

Please complete each application, then print & send 

(with a check for $50) to the following address.

NC Simmental Association

1341 Highway 21

Hamptonville, NC 27020