MDGS MEMBERSHIP APPLICATION (Online w/ PayPal - Part One)

Complete the following information for your Membership Record.  If you are purchasing a Breeder Listing with your membership, all the information you provide will be published, unless you indicate otherwise.

MEMBERSHIP TYPE:  (select one):

                                          

 

TELL US ABOUT YOURSELF:  

                      Name:

                   Address:

                         City: State: Zip:

                      Phone:   Email:

      Herd/Farm Name:

            Website URL:

 

TELL US ABOUT YOUR HERD:   Indicate the breed raised, the pedigree, and if Buck Service is offered.

                  INDICATE BREEDS:                        PEDIGREE:   (Click all that apply)       BUCK SERVICE:  (Click all that apply)

               #1:                                                               

               #2:                                                             

               #3:                                                             

               #4:                                                               

               #5:                                                              

               #6:                                                               

               #7:                                                              

               #8:                                                               

 

WHAT ARE YOUR GOAT RELATED INTERESTS:  (Click all that apply) 

                   

Once you have finished entering your membership information, click on the submit button to email this form for processing.  You will then be directed to the PayPal website where you may complete your online transaction.  If you experience difficulty utilizing this form, please contact the MDGS Treasurer for assistance.