Membership Application

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0 height="100%"><tr> <td valign="top" height=154 BGCOLOR="#CC99CC" TEXT="#080000" background="17c38b43.jpg"> <div> <I><B>Membership Application</B></I></div> <bR> <bR> <bR> <bR> <bR> <div> <A HREF="home1a.htm" TARGET="_top" TITLE="Membership"><U><I><B>back</B></I></U></A></div> </td> </tr><tr> <td valign="top" height=326 BGCOLOR="#FFFFFF" TEXT="#080000"> <bR> <div> <B>Llamas of the Wine Country</B></div> <div> <B>Application For Membership - 2010</B></div> <bR> <div> <B> <TABLE BORDER="0" CELLPADDING="2" CELLSPACING="1" WIDTH="834" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="BOX" RULES="ALL" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=TOP HEIGHT= 273 ><NOBR><div> <B>FULL MEMBERSHIP   $30.00</B></div> <div> Full Membership benefits shall include, but shall not be limited to, voting rights, serving as an Advisory Council member, </div> <div> listing in the Annual Brochure and affiliate insurance</div> <bR> <div> <B>ASSOCIATE MEMBERSHIP   $15.00</B></div> <div> Associate Membership benefits shall be limited to newsletters, flyers and communications</div> <bR> <div> <B>NEW GIFT - FULL MEMBERSHIP   $15.00</B></div> <div> Current members may sponsor a new member for the current year; membership shall include full membership benefits.</div> <bR> <div> <B>* </B>Full Members- please fill out the following information exactly as you wish it to appear in the</div> <div> membership brochure & website. List names in the order you wish them to appear. PRINT CLEARLY.</div> <bR> <div> <B>**</B> Dues and applications are to be received no later than 1/31/10 if you wish to be listed in the </div> <div> membership brochure at the beginning of the year.</div> </NOBR></tD> </tR> </TABLE></B></div> <bR> <div> APPLICATION</div> <bR> <div> <TABLE BORDER="0" CELLPADDING="2" CELLSPACING="1" WIDTH="807" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="BOX" RULES="ALL" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=TOP HEIGHT= 31 WIDTH="83"><div> <B>NAME(S):</B></div> </tD> <tD VALIGN=TOP><NOBR><div> <B>__________________________________________________________</B></div> </NOBR></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 33 WIDTH="83"><div> <B>RANCH NAME:</B></div> </tD> <tD VALIGN=TOP><NOBR><div> <B>__________________________________________________________</B></div> </NOBR></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 39 ><NOBR><div> <B>ADDRESS:</B></div> </NOBR></tD> <tD VALIGN=TOP><NOBR><div> <B>__________________________________________________________</B></div> </NOBR></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 40 WIDTH="83"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="40" ALIGN="bottom" WIDTH="83" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="713"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="40" ALIGN="bottom" WIDTH="713" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP COLSPAN=2 HEIGHT= 32 ><NOBR><div> <B>Phone: _________________  FAX: __________________  E-MAIL: ________________</B></div> </NOBR></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 20 ><NOBR><div> <B>________</B></div> </NOBR></tD> <tD VALIGN=TOP><NOBR><div> <B>Check here if you </B><B><U>DO NOT</U></B><B> want E-mail address included in the brochure</B></div> </NOBR></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 20 ><NOBR><div> <B>________</B></div> </NOBR></tD> <tD VALIGN=TOP WIDTH="713"><div> <B>Check here if you </B><B><U>DO NOT</U></B><B> want contact information on Web Site</B></div> </tD> </tR> <tR> <tD VALIGN=TOP COLSPAN=2 HEIGHT= 234 WIDTH="799"><div> <B>In addition to the above information, Full Members may have 30 words of copy which will be included in the </B></div> <div> <B>Membership Brochure and Web Site. If the number of words exceeds 30 words, it may be necessary to edit , space limitations require that this request be exactly followed. In this area you may like to include: Breeding/Sales, showing, training, stud service, 4-H, packing, boarding, ranch sitting, transportation, product sales, health care, etc.</B></div> <bR> <DIV ALIGN="LEFT"></DIV> <div> <B>_____________________________________________________________________________</B></div> <bR> <div> <B>_____________________________________________________________________________</B></div> <bR> <div> <B>_____________________________________________________________________________</B></div> <bR> <div> <B>Special listing. Please circle all that apply</B></div> </tD> </tR> </TABLE></div> <div> <TABLE BORDER="0" CELLPADDING="2" CELLSPACING="1" WIDTH="524" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="BOX" RULES="ALL" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=TOP HEIGHT= 23 WIDTH="125"><div> Breeding</div> </tD> <tD VALIGN=TOP WIDTH="118"><div> Boarding</div> </tD> <tD VALIGN=TOP WIDTH="130"><div> Training</div> </tD> <tD VALIGN=TOP WIDTH="130"><div> Hiking</div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 24 WIDTH="125"><div> Stud Service</div> </tD> <tD VALIGN=TOP WIDTH="118"><div> Sales</div> </tD> <tD VALIGN=TOP WIDTH="130"><div> Showing</div> </tD> <tD VALIGN=TOP WIDTH="130"><div> Driving</div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 24 WIDTH="125"><div> Shearing</div> </tD> <tD VALIGN=TOP WIDTH="118"><div> Fiber</div> </tD> <tD VALIGN=TOP WIDTH="130"><div> Packing</div> </tD> <tD VALIGN=TOP><NOBR><div> Transportation</div> </NOBR></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 41 ><NOBR><div> Approved Judge</div> </NOBR></tD> <tD VALIGN=TOP WIDTH="118"><div> 4H/Youth</div> </tD> <tD VALIGN=TOP WIDTH="130"><div> Pleasure</div> </tD> <tD VALIGN=TOP><NOBR><div> Product Sales</div> </NOBR></tD> </tR> <tR> <tD VALIGN=TOP COLSPAN=4 HEIGHT= 19 ><NOBR><div> Other: __________________________________________________</div> </NOBR></tD> </tR> </TABLE></div> <bR> <div> <B>Volunteer Opportunities. Please circle all activities in which you might be interested</B></div> <bR> <div> <TABLE BORDER="0" CELLPADDING="2" CELLSPACING="1" WIDTH="623" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="BOX" RULES="ALL" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=TOP HEIGHT= 35 WIDTH="164"><div> Education</div> </tD> <tD VALIGN=TOP WIDTH="146"><div> Membership</div> </tD> <tD VALIGN=TOP WIDTH="146"><div> PR Events</div> </tD> <tD VALIGN=TOP><NOBR><div> Harvest Fair Show</div> </NOBR></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 19 ><NOBR><div> Workshops/Seminars</div> </NOBR></tD> <tD VALIGN=TOP WIDTH="146"><div> Advertising</div> </tD> <tD VALIGN=TOP WIDTH="146"><div> Brochure</div> </tD> <tD VALIGN=TOP><NOBR><div> Advisory Council</div> </NOBR></tD> </tR> </TABLE></div> <bR> <div> Make check payable to:</div> <div> <B>Llamas of the Wine Country</B></div> <div> <B>P.O. Box 2446</B></div> <div> <B>Sebastopol, CA. 95473</B></div> <bR> <bR> <bR> </td> </tr></table></body>