Membership Form

Are you new or a Returning Member?*
Membership Number (for returning members)
Type of membership*
Herdname can be added at a later date for $10.00
Age of youth and D.O.B (If applying for youth membership)*

Tell us a little about yourself
Name
First Last
Business Name

If applying for business, please add legal business name.
If Business, please provide your TAX ID #
Family Members (if applying for family membership)
Please list family members' names.
Mailing Address*
Street Address City State / Province / Region ZIP / Postal Code
Home Phone
Cell Phone
Email*
Website

Now let's get some info about your farm
Farm Name
Desired Herdname
Your herdname is what goes in front of the goat's name when registering, you have 35 spaces to include the herdname and the goats name at the time of registration.
Herdname 2nd choice
We will always use the first choice if available; however, please list a 2nd choice as an alternative.
Tattoo Initials
This is your herd ID. We can choose one on your behalf if you are uncertain.
2nd Tattoo Choice
Must be different from 1st choice.
3rd Tattoo Choice

Additional signer: For LIFETIME or INDIVIDUAL memberships ONLY! (Optional)

List name and email and/or phone for an additional signer in the event of incapacitation/death of membership holder
Authorized Signers for BUSINESS MEMBERSHIP ONLY (Please list 2)

Section Break
How did you hear about MDGA?

Comments

Membership Form

Step 1 of 5

Tell us a little about yourself

Now let's get some info about your farm

Tell us about your goats

Section Break

Useful Information

IMPORTANT LINKS