ALASKA LIVESTOCK PRODUCERS ASSOCIATION

ALASKA LIVESTOCK PRODUCERS ASSOCIATION
PERSONAL INFORMATION
Date

MonthDayYear
Date
Full Name
Phone
Address
Email
example@example.com
City State zip
How many cows do you own? Must be at least one (1).
Have you completed the BQA certification? Please send proof to akstockmen@gmail.com or mail to PO Box 1370, Delta Junction, AK 99737

YesNo
PAYMENT INFO
Payment options

Cash (send toCheck- Mail to Alaska Livestock Producers Association at PO Box 1370, Delta Junction, AK, 99737Credit card: Fill out the information below
My Products
prevnext( X )
MembershipOne (1) year membership. Expires December 2025
$100.00

Total

$0.00
Signature

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Payment Methods

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