Ohio Simmental Association

Membership Application

Annual membership dues to the Ohio Simmental Association are $20.00

Remit $20 payment to:

c/o Pam Haley, Treasurer

14018 Stratton Road

West Salem OH 44287

Farm Name: ___________________________________________________

Owner / Member(s) Name: ___________________________________________________

___________________________________________________

Mailing Address: ___________________________________________________

City, State, Zip: ___________________________________________________

County: ___________________________________________________

Phone: ___________________________________________________

E-mail: ___________________________________________________

Website: ___________________________________________________

___ YES, when appropriate, my preference is to receive communications from OSA via e-mail

___ I prefer to receive communication from OSA via U.S. Mail.

Thanks for joining the Ohio Simmental Association and your support of the Simmental breed!