Junior Membership $10.00, Adult Membership $35.00

2015 Contributing Membership Application

Junior Membership $10.00, Adult Membership $35.00,

Family Membership $50.00, Supreme Membership $100.00 or Over

Name: ______

Address: ______

City: ______State: ______Zip ______

Preferred Phone, ______

Email, ______Web Site, ______

Amount Enclosed $______, Check # ______

State if you want your contribution for a specific event, breed, class, contest, or other

Circle Item(s) for desired use of your contribution

Event: Premier National Junior Show, Challenge Contests

Breed: Ayrshire, Brown Swiss, Guernsey, Holstein, Jersey, Milking Shorthorn, Red & White

Class; ______

Championship: ______

Contest: Management, Showmanship, 4-H/FFA Judging Forum, Invitational Judging Contests 4-H, FFA, Collegiate, Secondary

Other: Stargazer T-Shirts, Career & Networking, Investment:

Contributions are Tax Deductible

Mail to

AADF, P O Box 11211, Henrico, VA 23230

Robert D Heilman, Executive Director, P O Box 11211 Henrico, VA 23230