MDGA Membership Application
To apply for membership please complete all questions.
Name
*
First Name
Last Name
Farm Name
*
Any additional names
Do you want your contact information published on our website
Yes
No
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
E-mail
*
example@example.com
Phone Number
*
Website
Membership Type
*
Youth $5. (no vote)
Individual $15. (1 vote)
Family $20. (2 votes)
How will you be paying
*
Paypal MDdairygoatassoc@gmail.com
Mailing a check Please make payable to MDGA and mail to MDGA Treasurer Laurie Gill, 22300 Fitzgerald Dr. Laytonsville, MD 20882
Other
Breeds you own
Alpine
Guernsey
LaMancha
Nigerian Dwarf
Nubian
Oberhasli
Recorded Grade
Saanen
Sable
Toggenburg
Other
Services you provide
Semen for Sale
Live cover breeding
Performance Programs
Linear Appraisal
DHIR
DNA Testing
CAE Testing
Date of Signature
*
-
Month
-
Day
Year
Date
Signature
*
Save
Submit
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