American Sumatra Association

Annual Membership Dues are $10.00for 1 year; $18.00 for 2 years; $25.00 for 3 years.  Make checks payable to American Sumatra Assoc.

For more information, please contact:

Dee Mejstrik - ASA sec/treasurer & NL co-editor:  PH. 712-527-5224

email: deemejstrik@aol.com                                

Or write to: ASA c/o Dee Mejstrik; 22443 Devore Avenue, Glenwood, IA 51534**

OR:   ASA President - Richard Schock 3036 Woodruff Road - Boonville, NC 27011  email:   rschock3398@hotmail.com

OR: Doni Christiansen - Newsletter co-editor & Website Manager:   email:  HCHArabs2@aol.com   

**Questions? ..  Comments? .. Like to submit Newsletter Articles or pictures? ......... Please send to Dee at addresses above... Thanks!  

American Sumatra Association

Membership/Breeders Directory

Name: ____________________________________________

Address: _________________________________________

City: _______________________  State ___ Zip: ________

Email: ___________________________________________

Phone: _______________  Farm Name: ________________

Poultry Breeds & Variety You Show ~ Please include whether Large Fowl or Bantam:

 

List Any Stock You May Have For Sale:

 

 

Tell Us A Little More About You & Your Sumatra:

 

**Return this form& check to Dee Mejstrik at address above ~ Thanks!