Application
for Membership
Membership
Dues: Single $15.00 _____ Family $20.00 _____
Name
___________________________________________________________
Herd
Name ______________________________________________________
Address
_________________________________________________________
City
_________________________ ST _____ ZIP
______________________
Phone
_______________________
Cell
______________________________
email
___________________________________________________________
Family Member's Birthdates (MM/DD/YY): Breed of Goat(s):
Self/Date_________________________ ____________________________
Spouse
Name/Date________________
____________________________
Child Name/Date_________________ ____________________________
Child Name/Date_________________ ____________________________
Child Name/Date ________________
Child Name/Date ________________
I hereby give ASGBA permission to use
pictures of myself and family members
from shows, meetings, and/or other ASGBA functions in any
ASGBA publication.
____ initials
I hereby give ASGBA permission to publish my
name, address, phone, email
information on ASGBA’s website. I understand ASGBA will not sell my infor-
mation to any
entity. ____ initials
Send Applications to: Denise Thomas
Please make checks payable
to: ASGBA