Join Texas Longhorn Breeders Association of America

Please provide the following information:

Your Name
	Your Name as it will appear on certificates and in membership directory.
Other Name
Street Address
Town

State/Province	Zip/Postal Code Country
Phone: Home	Office Ranch
E-Mail	Fax Number
Jr. Member Birthday



Check or money order enclosed: or
Bill my: Visa Mastercard

Cardholder Name
Card Number	Expiration Date

Person(s) authorized to sign for TLBAA business:

Name of Authorized Person	Authorized Person - Sign here after printing
Name of Authorized Person	Authorized Person - Sign here after printing

Please draw your brand inside the box exactly as you wish to be recorded.

Reading of Brand

Submit the membership application - THANK YOU FOR JOINING!
Print completed form and FAX to: 817/625-1388
Print completed form and MAIL to:
TLBAA, P.O. Box 4430, Fort Worth, Texas 76164