TERREBONNE LIVESTOCK & AGRICULTURAL

FAIR ASSOCIATION

P.O. Box 2852

Houma, LA 70361

2008 MEMBERSHIP APPLICATION

Date:_____________________

Name or Primary Adult Member_______________________________________________________

(Please Print)

Address____________________________________________________________________________

City_____________________________________________State_______Zip_____________________

Home Phone________________________Cell________________________Other________________

Email______________________________________________________________________________

ADDITIONAL MEMBERS IN YOUR FAMILY:

_____________________________Youth or Adult__________________________Youth or Adult

_____________________________Youth or Adult__________________________Youth or Adult

_____________________________Youth or Adult__________________________Youth or Adult

_____________________________Youth or Adult__________________________Youth or Adult

Members of my family participate in: (circle all that apply)

Cajun Cowgirls Horse Shows Rodeos Queen’s Contest

Signature of Adult Family Member:______________________________________________________

Dues: $10.00 Individual

$30.00 Family (married couple and all children under 18)

For office use only

Date Paid: ______________Amount Paid:___________Type of Membership: __________________