<p> 2015 Contributing Membership Application</p><p>Junior Membership $10.00, Adult Membership $35.00, </p><p>Family Membership $50.00, Supreme Membership $100.00 or Over</p><p>Name: ______</p><p>Address: ______</p><p>City: ______State: ______Zip ______</p><p>Preferred Phone, ______</p><p>Email, ______Web Site, ______</p><p>Amount Enclosed $______, Check # ______</p><p>State if you want your contribution for a specific event, breed, class, contest, or other</p><p>Circle Item(s) for desired use of your contribution</p><p>Event: Premier National Junior Show, Challenge Contests</p><p>Breed: Ayrshire, Brown Swiss, Guernsey, Holstein, Jersey, Milking Shorthorn, Red & White</p><p>Class; ______</p><p>Championship: ______</p><p>Contest: Management, Showmanship, 4-H/FFA Judging Forum, Invitational Judging Contests 4-H, FFA, Collegiate, Secondary </p><p>Other: Stargazer T-Shirts, Career & Networking, Investment:</p><p>Contributions are Tax Deductible</p><p>Mail to </p><p>AADF, P O Box 11211, Henrico, VA 23230</p><p>Robert D Heilman, Executive Director, P O Box 11211 Henrico, VA 23230</p>