TERREBONNE
LIVESTOCK & AGRICULTURAL
FAIR ASSOCIATION
2009
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: __________________