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Membership Application
Contact Information
Previous AKGA Member
*
Yes
No
If Yes, list herd prefix and/or herd i.d. number.
Ranch or Business Name
Name (or person authorized to do business)
*
Street Address
*
Address Line 2
City
*
State/Province
*
Quebec
Ontario
Manitoba
Saskatchewan
Alberta
British Columbia
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code
*
Country
*
Phone Number
*
Cell Phone
Email Address
*
Website Address
Farm or Ranch FB Address
Herd Prefix choices: Must be 3 letters - 1st Choice
*
2nd Choice
*
3rd Choice
*
Member Classification
*
Breeder
Associate
Junior
Lifetime
AKGA Registration # of goat owned
AKGA Registration Name
If purchase of goat is pending, give seller's name
Date of Birth, if applying for Junior
+
*Membership Classification: Please refer to the Fees and Order Form for Membership classification and fees.
I agree to support and obey the Bylaws of the American Kiko Goat Association and to advance the purpose of the AKGA. I understand and agree that my membership can be removed at any time under the Bylaws of the AKGA.
T
o make a credit or debit card payment, please use the Online Fees and Order Form, found under the Forms tab of the AKGA website, to make your secure online payment via Paypal
.
Method of Payment
*
Will Mail Payment
PayPal
T
o make a credit or debit card payment, please use the Online Fees and Order Form, found under the Forms tab of the AKGA website, to make your secure online payment via Paypal
.
REQUIRED: I agree to the terms and conditions above. If a minor, parent must agree to terms. If an entity, person authorized to do business with the AKGA must agree.
*
Agree
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