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MEMBERSHIP REQUEST

Individual membership in the Indiana Dairy Goat Association, Inc. is $10.00 a year and entitles you to one vote and subscription to the newsletter.  Membership is from January 1 to December 31.  Mail the membership form or complete this on-line form and mail the $10.00 to Marianne Ingle at 7723 E 1000 S, Walton, IN 46994.  PLEASE MAKE CHECKS PAYABLE TO – INDIANA DAIRY GOAT ASOCIATION, INC.

If you would rather pay online through Paypal, please CLICK HERE. There is a $1 Paypal/convenience for using our online payment service.



Herd Name:

Name:
County:
Street Address:
City/State/Zip:
Phone:
Fax:
Email:

What breeds(s) do you raise?

Do you offer buck service? No Yes
      If yes, for what breed?

Number of new memberships
Number of renewal memberships

Do you want included on the 4-H judges list? No Yes
If so which breeds?
None
Dairy
Pygmy
Boer
Other (Specify)

Would you like to have the show packet mailed to you? (a version will be available online) No Yes

Comments/Suggestions:

Would you like someone to contact you? If so, please provide your preferred contact information:

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PaMarch 2, 2012