Tennessee Llama Community - TLC Membership Application

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Tennessee Llama Community
Membership Form and Survey

Name(s)___________________________________________________________________________________

Farm Name________________________________________________________________________________

Mailing Address____________________________________________________________________________

City__________________________ State______ Zip code________ County______________________

Phone_________________ Fax__________________ Other phone (specify)________________________

E-mail__________________________________ Web site_________________________________________

The following data will be used for overall characterization of TLC membership and not otherwise released.

Number of llamas: Male___ Female___ Non-breeder_____

Number of alpacas: Male___ Female___ Non-breeder_____

Other camelids (please describe)_________________________________________________

Other farm animals (type and numbers)____________________________________________

Size of farm (acres)_____________

What do you do with llamas (rate the categories you participate in by degree of interest: 1= low to 5 = high)?

Breeding_______ Livestock Guardians_______

Showing________ Marketing________

Fiber__________ Education/Outreach_________

Pets/Companions______ 4-H/Children_________

Packing_________ Therapy________

Cart Driving________ Rescue________

Veterinary________ Other (specify)_________________________

What of the above would you like to do that you currently don’t do?___________________________________

What types of activities should TLC sponsor?_____________________________________________________

Could you help with TLC activities and events?

I/We will serve on a committee (specify interest)____________________________________________

I/We will assist at events (specify type and area of state)______________________________________

I/We will organize events (specify type and area of state)_____________________________________

I/We will hold events/meetings at our farm (specify type and area of state)________________________

I/We am willing to hold office or be a director (specify)_______________________________________

DUES: q New q Renewal q Gift

q Farm - $25.00 (one vote)

q Professional Associate - $10.00 (one year, no vote) [limited to veterinarians & agricultural professionals]

(Membership year is June 1 to May 31. Members joining mid-year will have next year's dues prorated.)

Please return survey with dues payment (check made out to TLC) to:

Susan Gawarecki, TLC Membership Chair
114 Pathfinder Lane, Andersonville, TN 37705