Application for Membership

Application for Membership

To the Shorthorn Beef Society Of Australia
I/we hereby apply for the following membership (select one option)*

Full Membership ($250)Commercial Membership ($220)Youth / Junior Membership ($33)School Memebrship ($33)
Applicants name *

First NameLast Name
Residential or Property Adress*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Is your postal address the same as your residential address?*

YesNo
Postal Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number
Please enter a valid phone number.
Mobile Number *
Please enter a valid phone number.
Date of Birth *

MonthDayYear
Date
Parent / Guardian name (if under 18 years of age)

First NameLast Name
Parent / Gaurdian Phone number (if under 18 years of age)
Please enter a valid phone number.
In the case of a Partnership, Company or Organisation, the name of a NOMINEE
to vote for and on behalf of the membership MUST be submitted
Nominee Name

First NameLast Name
Apply for Stud and Herd Identifiers

Should you wish to register cattle please follow the below instructions:

Please provide in order of preference, three (3) options for both your Stud Prefix and Tattoo Identification.

A Stud Prefix is placed before the name of each calf registered to the breeder and is used as an identifiaction tool. The Stud prefix should not exceed fifteen (15) letters.

A Tattoo ideintifcation in unique to each breeder and consists of three (3) letters, the Tattoo will form part of the unique identifier for each registered animal.
I am intending to register cattle as a Shorthorn Youth Member

YesNo
1st Choice - Stud Prefix
15 Letters Max, including spaces
2nd Choice - Stud Prefix
15 Letters Max, including spaces
3rd Choice - Stud Prefix
15 Letters Max, including spaces
Tattoo Identifier Choices
1st Choice - Tattoo Identifier
3 letters, excluding i and o
2nd Choice - Tattoo Identifier
3 letters, excluding i and o
3rd Choice - Tattoo identifier
3 letters, excluding i and o
Member Acknowledgement*

I/We agree that the details shown on this form are true and correct
Should be Empty:

Application for Membership

Apply for Stud and Herd Identifiers