Cattle Women Membership Application

Name________________________________Spouse___________________

Address_______________________________________________________

Town/State/Zip__________________________________________________

County_______________Home Phone____________Work Phone__________

Fax___________________Email address______________________________

                                            indicate which you wish to pay:
Kansas CattleWomen dues                             $10.00______
American National CattleWomen basic dues   $50.00______
ANCW Sustaining Membership dues              $75.00______
ANCW Associate Membership dues              $100.00_____and up.

Please make check payable and mail to:
Kansas CattleWomen
6031 SW 37th Street
Topeka, KS  66614