LOL Membership Renewal Application

LOL Membership Renewal Application
This form is for RENEWING MEMBERS only. Membership Registrations for LOL-Land of Lincoln Nigerian Dwarf Goat Club are for Jan. 1st-Dec. 31st.

We appreciate your help with this club. It is our goal to host shows in a fun, family atmosphere tha promotes learning and unity in the goat community in the states of Illinois/Indiana/Iowa.
Name*

First NameLast Name
Farm Name
Farm Name
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail*
Other Contact Number

Area CodePhone Number
Website
Membership Type

Membership $20
# of Goats in Your Herd
Please select areas of interest, if any

Milk ProgamShowsJudge's Training
Today's Date

MonthDayYear
I Authorize the above information to be published in a Member Roster or on LOLNDGC's website.

YesNo
Initial here to electronically sign your application.*
We are always looking for more members for the club. Club Board of Directors have final determination in accepting new members.

*ALL LOL NDGC CLUB SHOWS ARE FOR CLUB MEMBERS ONLY*

Make checks payable to LOLNDGC or Paypal lolndgc08@gmail.com

Mail Forms along with payment to:

Ann Alecock Attn: LOLNDGC

1069 Township Rd 1950E

Smithshire, IL 61478
Should be Empty: