New Member Application

New Member Application

This form is intended for applying for a NEW membership with the AKGA. Payment via paypal will be required to complete this form. If you wish to renew an existing membership, please use the Membership Renewal form instead.

Have you been a Breeder Member previously? *
N/A
What was your past Herd ID and/or Herd Prefix?
N/A

If you do not remember, you may leave this blank.
New Member Information
Name *
N/A

Examples: John Doe; John and Jane Doe
Farm Name or Business Name
N/A

What is the name of your farm? Optional.
Phone *
N/A

### ### ####
Cell Phone
N/A

### ### ####

Optional
Email
N/A
Address
N/A

Required
Street Address Required City Required State/Region/Province Required
Postal / Zip Code

Required
Country
Website
N/A

If you have a farm/business website, you may provide it here. Optional.
Facebook Farm/Business Page
N/A

If you have a facebook page for your farm, you may provide it here. Optional.
Membership Type *
N/A

Breeder Member
Lifetime Breeder Member
Associate Member
Junior Member with Breeder Parent
Junior Member without Breeder Parent

Breeder Membership is $50 per year and may be adjusted to $25 depending on the time of the year that you are joining. If joining in December, your dues will be $50 and applied to the next calendar year. Lifetime is a one time fee of $500.
I am applying in the month of
N/A

This is used to accurately calculate your member dues for the first year. Please select what month it is right now.
Herd Prefix - First Choice *
N/A

Please provide your preferred 3 letter (no numbers) herd prefix here (example: USA).
Herd Prefix - Second Choice
N/A

In the even your first choice is not available, what is your second most preferred choice?
Herd Prefix - Third Choice
N/A

If both your first and second choices are not available, what is your third preferred choice?
AKGA Registered Goat Name
N/A

To be a Breeder or Lifetime Member, you must own an AKGA registered goat. Please provide the full registered name of the goat you own.
AKGA Registered Goat Registration Number
N/A
If purchase of AKGA goat is pending, please provide the seller's name
N/A
Breeder Parent Herd ID
N/A

Enter Breeder Member Parent's 4 digit Herd ID.
Formula
N/A

This calculates the amount due.
Terms and Conditions *
N/A

I agree to support and obey the Bylaws of the American Kiko Goat Association and to advance the purpose of the AKGA. I understand and agree that my membership can be removed at any time under the Bylaws of the AKGA.

I accept the Terms and Conditions.
PAYMENT
When you click "submit" you will be taken to a Paypal payment screen. You do not have to use a PayPal account to process your payment. You will have two options:
1. If you have a PayPal account, you may login to complete your payment.
2. Otherwise, you may select "Pay with Debit or Credit Card" instead, without needing a Paypal account.

Your request will not be processed unless payment has been received.
Payment *

Paypal USD

Amount to be paid $

New Member Application

New Member Information

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