Illinois Holstein Membership Form
Please fill out the form below and select your payment method to become a member of the Illinois Holstein Association. Questions about filling out this form?
Call Tina Yagow, Secretary (815) 757-0852 or email ilholsteinsecretary@gmail.com
Name(s) *
Your answer
Farm Name
Your answer
Mailing Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Email *
Your answer
Phone number *
Your answer
Junior Members (include birth dates)
Your answer
Membership Type *
District Holstein Club
Your answer
# of RHA Holstein Cows Owned ($0.50/cow)
Your answer
Holstein Association USA Account #
Your answer
Payment Method *
Submit
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