Mississippi Cattlemen's Association

Mailing Address:

First Name:

Last Name:

Spouse:

Address

Address2

City

State:

AL AK AB AZ AR BC CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MB MD MA MI MN MS MO MT NE NV NB NF NH NJ NM NY NC ND NS OH OK ON OR PA PE PQ RI SK SC SD TN TX UH VT VA WA WV WI WY

Zip:

Daytime Phone:

e-mail:

County:

Company:

Mailing Address is the same as Billing Address

AL AK AB AZ AR BC CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MB MD MA MI MN MS MO MT NE NV NB NF NH NJ NM NY NC ND NS OH OK ON OR PA PE PQ RI SK SC SD TN TX UH VT VA WA WV WI WY

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Please check all that apply:

MCA member		MCWA member
Invited Guest		State Director
Speaker		First-time attendee
MJCA member		County President

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Registration:

(your registration & name tag admits you to all meetings)

Options	Price	Quantity	Total
MCA Member	$25
MCA Spouse	$5
MCWA Member	$10
MJCA Member	$5

Meal Events:

Options	Price	Quantity	Total
Friday ~ A Taste of Beef	$25
Saturday ~ Awards Luncheon	$20
Saturday ~ Western Night Dinner	$30
Saturday ~ Rodeo Tickets (only 2 per registered attendee)	$25