Central Cropper and Pouter Club
Membership Application Form
Adult Dues: $15.00 yearly
Foreign Countries/Canada: $25.00 yearly
( if bulletin is e-mailed, dues are $15.00 yearly)
Junior Dues: $5.00 yearly
________________________________________________________________
Name ___________________________________
Junior________ Senior_________
Address______________________________________________
City_________________________ State________ Zip____________
Phone_____________________ E-Mail________________________
Breeds/Colors Raised:______________________________________
________________________________________________________
________________________________________________________
Other Club Affilations:_______________________________________
________________________________________________________
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Send application to:
Central Cropper and Pouter Club
Sec/Treas- Merle Frank
1504 N Minnesota St.
New Ulm, Minnesota 56073