W.O.W. MEMBERSHIP FORM
W.O.W. MEMBERSHIP STATUS (PLEASE CHECK ONE)
____ I wish to become a Full member of W.O.W. or renew my membership ($50.00). A Full member is a
licensed Wisconsin cervid farmer.
License Number: __________________
____ I wish to become an Associate member of W.O.W. or renew my membership ($25.00).
An Associate is a spouse/family member/partner of a licensed Wisconsin cervid farmer, or anyone else
interested in the business.
____ I have already renewed my W.O.W. membership as Full/Associate (please circle one). (Dues paid after
January 1.)
____ I would like to become a lifetime member of W.O.W. ($500.00)
W.O.W. MEMBERSHIP DIRECTORY AND INTERNET DIRECTORY (PLEASE CIRCLE YES OR NO).
Would you like to be listed in the membership directory? YES / NO
Would you like to be listed in the Internet directory on W.O.W.’s website? YES / NO
If you answered yes to either of the above questions, please provide the following information:
Farm/Business Name:
______________________________________________________________________________________
Name & Address:
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Phone #: ___________________________ Cell #: ____________________________ Fax #:
____________________________
E-mail address:
___________________________________________________________________________________________
_
Website address: http://
______________________________________________________________________________________
PLEASE CIRCLE ALL THAT APPLY FOR THE FOLLOWING.
What animals do you raise and/or sell? Whitetail Elk Red Fallow Sika Reindeer Other
_______________
What do you sell? Breeder Bucks/Bulls/Stags Shooter Bucks/Bulls/Stags Adult Does/Cows/Hinds
Bred Does/Cows/Hinds
Buck Fawns Doe Fawns Bottle-Fed Fawns Hunts Nothing at this time
Describe antler characteristics: ____% Typical ____% Non-Typical
Specialty products or services:
_______________________________________________________________________________
Other animals or products: White Whitetails Piebald Whitetails Venison Antlers Semen Urine
Feed/Minerals
If other, describe:
__________________________________________________________________________________________
Testing status: TB accredited TB qualified Brucellosis certified Brucellosis qualified CWD
monitored since ________
Brief description: Please provide information pertaining to your operation, such as number of animals,
acreage, years of operation, or more about your products/services, etc. Please provide the information the
exact way you want it in the directory and/or website.
___________________________________________________________________________________________
______________
___________________________________________________________________________________________
______________
___________________________________________________________________________________________
______________
___________________________________________________________________________________________
______________
Please check one: For the directory, I want to use ___the same picture as last year, ___a new picture
(attached), ___no picture.
NOTE: You may include one picture to be posted next to your farm/business information on the website and
in the membership directory. Pictures will not be returned. THIS FORM MUST BE RETURNED EACH YEAR
BY THE DATE OF THE ANNUAL MEETING IF YOU WOULD LIKE YOUR FARM OR BUSINESS TO BE
INCLUDED IN THE DIRECTORY. Thank you!
Make checks payable to W.O.W. Send your dues with this form to: Myndi Margan
2533 Southerland Circle
Kaukauna, WI 54130