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TJSA Membership Form

TJSA dues are $10 per calendar year due January 1.

Make checks payable to TJSA and mail to:
Cathy Ivey
39245 Highway 72 North
Loudon, TN 37774

Click to here to print & mail it!

Please provide the following contact information:
* required fields

Today's Date:
* Check One:	New Membership \| Renewal
* Name:
* Parents / Legal Guardian:
* Farm Name:
* Street Address:
* City:
* State/Province:	* Zip Code:
* Home Phone:
* E-mail:

Are you a member of AJSA?	AJSA Number?

Comment: