Membership Application
Michigan International Gay Rodeo Association - Federal Tax ID # 38-3178601
Legal Name (Membership purposes only)
*
First Name
Last Name
Performance Name / Show Name (if applicable)
Name Tag Preference
*
Legal Name
Performance/Show Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
I'm interested in the following
Royalty
Rodeo/Event Production
Volunteer
Fundraising
T-Shirt Size
*
Signature
*
My Products
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Membership Fee
Annual Membership
$10.00
$
10.00
Quantity
1
Item subtotal:
$0.00
$
0.00
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