HEART OF MISSOURI LIMOUSIN BREEDERS
ASSOCIATION MEMBERSHIP

NAME_________________________________________________

RANCH / FARM_________________________________________

ADDRESS _____________________________________________

_____________________________________________

HOME PHONE ( )_________ BUSINESS PHONE ( ) ________________

E-MAIL _____________________________________

FOR OUR INFORMATION PLEASE INDICATE WHAT TYPE OF OPERATION YOU HAVE: POLLED, FULLBLOOD, COMMERCIAL, ETC., AND THE SIZE OF YOUR OPERATION.

RETURN WITH $25.00 ANNUAL MEMBERSHIP FEE TO:

HEART OF MISSOURI LIMOUSIN BREEDERS

Deloris Grimstad
Black Tie Limousin
2394 Robin Lane
Moutain Grove, MO 65711
(417) 926-7715

IF YOU HAVE QUESTIONs, PLEASE E-MAIL Deloris Grimstad, HMLBA Treasurer.

MAKE CHECKS PAYABLE TO: HEART OF MISSOURI LIMOUSIN BREEDERS