| ENROLLMENT
DATE |
|
| AJCA
CUSTOMER NUMBER |
|
| OWNER NAME |
|
|
REAP
rules require that you be a member of the American Jersey Cattle
Association. Click here
to fill out a membership application online. If this is a printed
form, check here [ ] to have a membership application
sent to you.
|
| MAILING
ADDRESS |
|
| CITY |
|
| STATE |
|
| ZIP CODE |
|
| (AREA CODE)
PHONE NUMBER |
|
| FAX: (AREA
CODE) PHONE NUMBER |
|
| EMAIL
ADDRESS |
|
 |
| HERD
INFORMATION |
| DHIA HERD
NUMBER |
|
NUMBER OF
JERSEY COWS (REGISTERED AND GRADE) THAT HAVE CALVED AT LEAST ONCE ON
MOST RECENT TEST
|
|
TO RECEIVE REGISTRATION BENEFITS FOR
ANIMALS RECORDED IN OTHER OWNERSHIPS (like children, grandchildren,
herdsman), LIST THE ADDITIONAL AJCA CUSTOMER NUMBER(S) IN THIS BOX
|
|
|
DAIRY RECORDS PROCESSING CENTER
PROVIDING YOUR TESTING SERVICES
(SELECT ONE) |
AT:
Agri-Tech Analytics
PV: DHI COMPUTING
SERICE, INC., Provo
RA: DAIRY RECORDS
MANAGMENT SYSTEMS (DRMS)
WI: AgSource
Cooperative Services
|
| TYPE OF
RECORDS PROGRAM DESIRED (SELECT ONE) |
PRODUCTION
RECORDS BASIC (click here for description)
PRODUCTION
RECORDS PLUS (click here for description)
|
| NAME
OF HERD MANAGEMENT SOFTWARE PROGRAM YOU USE (SELECT ONE) |
DAIRY COMP 305
DHI PLUS
PC DART
|
ARE YOU
NOW PARTICIPATING IN THE EQUITY PROGRAM?
|
YES
NO |
| METHOD OF
EQUITY PAYMENT (SELECT ONE) |
$3.20
per cow, to be added to fees (see below)
Milk
check assignment of $.02/cwt. or greater (NOTE: An assignment card
must be completed and returned. Click here to print from
website. Check here [ ] to have an assignment
card mailed to you.)
|
| NAME
OF MILK BUYER |
|
| ADDRESS
OF MILK BUYER |
|
|
|
Click for
summary of
services included in REAP enrollment.
Please indicate your
preferences for the following benefits:
|
|
DO YOU WANT A PRINTED COPY OF THE
COMPLETE JERSEY GENETIC SUMMARY ("GREEN BOOK") MAILED TO YOU? |
YES
NO
You must select "YES" to receive the "Green Book" by mail. It is
available online at http://greenbook.usjersey.com. |
|
|
ENROLL IN YOUR CHOICE OF
THESE REGIONAL
YOUNG SIRE PROVING GROUPS |
NEW ENGLAND JERSEY
SIRES
LIBERTY JERSEY
SIRES
DIXIELAND JERSEY
SIRES
DAIRYLAND JERSEY
SIRES
GREAT
WESTERN JERSEY SIRES |
|
|
JERSEY JOURNAL
SUBSCRIPTION
I understand that I will receive
12 issues of the Jersey Journal as part of my REAP fees.
Please handle this subscription in the following manner: |
I
do not have a subscription. Please start one for me.
Add
to my current subscription.
Send
with my compliments to:
|
|
| FEES |
| HERD
FEE ($100 annually), PLUS |
$100.00 |
| cows
@ $12.25/cow (1 to 100 cows) |
|
| cows
@ $9.75/cow (101st to 300th cow) |
|
| cows
@ $7.50/cow (301st to 500th cow) |
|
| cows
@ $5.25/cow (501st to 1,000th cow) |
|
| cows
@ $4.50/cow (1,001th and over) |
|
 |
SUB-TOTAL: REGISTRATION, APPRAISAL AND
PERFORMANCE |
|
|
PLUS
EQUITY for herds not using milk check assignment)
|
|
|
cows
@ $3.20/cow (all cows) |
|
|
|
TOTAL:
Be sure to include $100 herd fee. |
|
|
SUPPORT FOR SPECIAL FUNDS
Please consider adding a
contribution to one or more of these 501(c)(3) tax-exempt funds
providing financial support for Jersey-specific research and Jersey
youth. Thank you for your support! |
| AJCC
Research Foundation |
|
| Jersey
Youth Academy |
|
| AJCA
Scholarship Fund |
|
| Maurice
E. Core Jersey Youth Fund |
|
|
|
METHOD OF PAYMENT |
Annual payment
in full, with 5% discount if paid within 30 days of enrollment
Check
enclosed
Bill
to credit card on file
Contact
me for credit card information
|
|
|
Monthly
payment to be invoiced by AJCA
Monthly
milk check assignment (Note: A milk check assignment card must be completed and
returned to AJCA.)
Quarterly
payment to be invoiced by AJCA |
|
| I
hereby certify this application is submitted with full knowledge
of the official rules of (1) DHIA, (2) DHIR, if applicable, and
(3) the Type Traits Appraisal Program. I hereby make application
to have my herd evaluated under the Rules of the Type Traits
Appraisal Program and agree to be bound by all the applicable
rules. The AJCA may obtain my herd records directly from my dairy
records processing center (DRPC). I agree to continue my
enrollment in the REAP program for 12 consecutive months from the
date of initial enrollment. |
| DATE
APPLICATION SUBMITTED |
|
