APPLICATION FOR JUNIOR MEMBERSHIP

1 Revised 10/25/16 APPLICATION FOR JUNIOR MEMBERSHIP american angus association , 3201 Frederick Avenue, Saint Joseph, Missouri 64506 (816) 383-5100 Fax: (816) 233-9703 MEMBERSHIP must be applied for in an individual name. MEMBERSHIP fees are payable at the time the APPLICATION is submitted. APPLICATION should show the full legal name in which the MEMBERSHIP is to be entered. The MEMBERSHIP is not transferrable. It is further understood that annual dues are required for continued JUNIOR MEMBERSHIP . JUNIOR memberships are available to persons under 21 years of age and JUNIOR MEMBERSHIP privileges expire at age 21. The length of the MEMBERSHIP name and location must not exceed 60 spaces, for example: J O N A T H A N J A C O B S M I T H R O C K R I V E R I A 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 WHEN SUBMITTING THE APPLICATION , PLEASE ENCLOSE THE REGISTRATION CERTIFICATES OF THE angus CATTLE YOU NOW OWN.

2 association RECORDS ARE KEPT IN MEMBER AND NON-MEMBER SECTIONS OF THE FILES, AND THE CERTIFICATES WILL ENABLE US TO REMOVE THEIR RECORDS FROM THE MEMBER GROUP OR FROM THE NON-MEMBER GROUP AND PLACE THEM UNDER YOUR NAME IN THE MEMBERSHIP SECTION. YOUR REGISTRATION CERTIFICATES WILL BE RE-ISSUED SHOWING YOUR EXACT MEMBERSHIP NAME AND MEMBER CODE NUMBER. THIS WILL GREATLY FACILITATE REGISTRATION OF NEW CALVES WHEN YOU SUBMIT applications OR TRANSFER ANIMALS YOU NOW OWN. IF YOUR REGISTRATION CERTIFICATES ARE STORED ELECTRONICALLY, PLEASE CONTACT THE association OFFICE. I hereby make APPLICATION to the Board of Directors of the american angus association for JUNIOR MEMBERSHIP in consideration of acceptance of this APPLICATION .

3 I agree to comply with and abide by the Rules of the american angus association as they may be amended from time to time, including but not limited to those rules and procedures related to the submission of any materials, data or information. By signing this APPLICATION for MEMBERSHIP , I understand I am responsible for the accuracy of the information I provide to the american angus association and waive any claim agains t and grant a release to the american angus association , any member, employee or agent of the association , for any act or omission in connection with the enforcement of the rules and regulations presently in effect or hereafter adopted by the association : *PLEASE USE BLACK INK ONLY* MEMBERSHIP Location Name of Herd PLEASE PRINT (Limit Name to 24 Spaces) (City) (County) (State) Mail Address ( Box or Street) (County) (State) (Zip) Gender (City) Date of Birth Owner Signature Print Name Date Parent/Guardian Email Phone # Home (_____) Phone # Business (_____) Phone # Cell (_____) Fax # (_____) JUNIOR MEMBERSHIP is a $20 yearly fee.

4 This MEMBERSHIP does not include subscription to the angus Journal. $20 is enclosed for JUNIOR MEMBERSHIP payment. I understand this MEMBERSHIP does not include subscription to the angus Journal. Initial Here . $70 is enclosed for MEMBERSHIP and a 1-yr subscription to the angus Journal. Certificates enclosed for corrections. Would you like your certificates to be electronically stored (not printed)? Certificates will be stored at the association and the animals are eligible for electronic transfer. YES NO Please check this box if you would like an AAA Login profile created. An email address must be provide d above. State Issued Premise ID (if available) Person completing MEMBERSHIP APPLICATION if not parent/guardian(OVER)Revised 10/25/16 Authorized Agents: If MEMBERSHIP is granted, the applicant requests that the association recognize the individuals whose signatures appear below as the agents (ranch managers, office assistants, family members) of the applicant solely for purposes of making applications for entry and transfer on behalf of the applicant.

5 This authorization gives permission to sign work or make requests for this MEMBERSHIP . An agent cannot add or remove a name from a MEMBERSHIP . This authorization will remain in effect until it is terminated in writing by the holder of the MEMBERSHIP . Sign Print Sign Print Sign Print Sign Print Performance Data Submission: If cattle belonging to other members are part of your contemporary groups and you wish for them to be included in your summaries, please list their codes below. If an AAA Login profile is created, your member code will have authorization to submit registrations and transfers electronically for the codes listed below. _____ _____ _____ _____