Ohio Junior Simmental Association
Membership Application
Name:___________________________________________
Address:_________________________________________
City:_______________________State:_______________ Zip:_________
County:________________Email:_____________________
Parents Names:____________________________________
Website:_________________________________________
Are you an AJSA member?___________________________
Dues: $12 per year____________________
Remit to:
Ohio Junior Simmental Association
Peg Brinkman – Treasurer
D860 County Road 15
Holgate, Ohio 43527
Phone: 419-264-3312