MEMBERSHIP REGISTRATION Mail Registration to: Dakota Territory Buffalo Association P.O. Box 4104 Rapid City, SD 57709 First Name  Last Name  Ranch Name  Address  City  State  Zip  Telephone () Fax () E-mail  Web Site Address  Please enclose your DTBA Membership Dues @ $50 for one year

PLEASE MAKE CHECKS PAYABLE TO THE DAKOTA TERRITORY BUFFALO ASSOCIATION

In order to be of greater service to our membership, the DTBA Board of Directors has authorized a VOLUNTARY questionnaire designed to help our membership. Frequently, the DTBA receives requests on where to purchase bison or bison-related items. We are working on compiling a comprehensive list of our members who would like their goods and services made available, both in the industry and to those outside the industry. Your participation in this survey will help to publicize your bison-related businesses. We will use the information provided by you to compile a list that will be made available at trade shows, auctions, DTBA events and also in upcoming membership directories. The list will be used in the DTBA office to answer questions and direct inquires to the appropriate parties. Please check all that apply to your operation and if you have other bison-related items, please write them in.

Please mark each of the following that apply to your current operation:

Breeding Stock  Meat  Hides  Bull Calves  Specialty Meats  Skulls  Absentee Owner Program  Mobile Concession  Leather  Hunts  Gifts Boxes  Handling Equipment  Tours  Other By Products  Other  Production Auction - Date  Location