Memebership Application

MEMBERSHIP APPLICATION WHITETAILS OF LOUISIANA POST OFFICE BOX 436 FOLSOM, LA 70437 985-892-0056 OFFICE

whitetailsoflouisiana@gmail.com

MEMBERSHIP NAME: _______________________________________________ DATE: ______________ FARM NAME: _________________________________________________________________________ MAILING ADDRESS: ____________________________________________________________________ CITY: _________________________ STATE: ______ ZIP CODE: _________ PARISH: __________________ CELL PHONE: ___________________________ WEBSITE: ______________________________________ EMAIL: _______________________________________________________________________________ _____BREEDING FACILITY _____HUNTING RACH OTHER: __________________________ I AM JOINING AS: (PLEASE CHECK ONE) ACTIVE MEMBERSHIP (VOTING PRIVILEGES): $100.00/YR. ASSOCIATE MEMBERSHIP (NON-VOTING): $50.00/YR. LIFETIME MEMBERSHIP (VOTING PRIVILEGES): $750.00

I HEREBY MAKE APPLICATION TO THE WHITETAILS OF LOUISIANA AND I CERTIFY THAT THE INFORMATION I HAVE PROVIDED IS TURE AND CORRECT TO THE BEST OF MY KNOWLEDGE:

SIGNATURE: ______________________________________________________ DATE: _____________ Mission and Purpose: To promote the business of raising and marketing Whitetail Deer in the state of Louisiana. To promote high ethical standards in the care, handling, and harvesting Whitetail deer To provide educational opportunities for members of the corporation and other interested people through the sharing of information concerning whitetail deer. To serve as a collective voice in governmental issues that affect whitetail deer producers, so as to enhance the whitetail deer industry. To require members of the corporation to operate in a legal, honest and forthright manner with fellow members, other whitetail deer producers and the general public.

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