Oregon Mr. Longears Club Application for Membership New Member ( ) Renewal ( )

Dues: $15 Annually

Farm Name_________________________________________
Name__________________________________________
Family Members(wife/husband, dependents under 18 yrs)
___________________________________________________
Address___________________________________________City_________________________State_____Zip________
Phone___________________________Fax________________________Email__________________________________

Check those you are interested in? How many do you own?

Donkeys: Miniature(36” & under )_______, Standard _______, Mammoth _______
Mules: Miniature(48” & under)_______, Saddle _________, Draft _______

What is your primary interest?

Pets_____Trail Riding_____Showing_____Races______Breeder______
Mules/Donkeys For Sale_____Other___________

If you have other interest that are not listed above, feel free to write them down or circle one of these. IE: Social, trail maintnance, working with youth, volunteering to work at an OMLC enformation booth.

Do you have a jack you stand at stud? yes ( ) no ( )

Name of Jack______________________________Size__________

**Membership runs Jan 1- Dec 31**

Mail application & dues to:
Bonni Strong
32125 Harris Dr
Cottage Grove, OR 97424