APPLICATION FORM FOR
VIRGINIA JUNIOR HOLSTEIN DISTINGUISHED
(16 YEARS AND OVER AS OF JANUARY 1 OF CURRENT YEAR)
Must be a paid member of the Virginia Junior Holstein Association by May 1 of the current year
DUE OCTOBER 10th OF THE CURRENT YEAR
Mail completed form to:
P.O. Box 340
Midland, VA 22728
Phone and Fax: 540-439-2980
The Senior Level Distinguished Junior Member application should be completed as required by the National Holstein Association.
Forms and
instructions may be obtained online at
www.holsteinusa.com by clicking on the “Junior Members” link.
OR by
contacting Margie Ann Dick at 1-540-439-2980 (home) or 540-878-1659
(cell)