Membership Renewal

Please fill out the information below so that we can ensure the data is correct in our database.

Name:

Telephone Number:

Street Address:

City:

State:

Zipcode:

Fax Number:

Email Address:

Website:

Herdname :

Membership Type: Individual - $25 Family - $35 Lifetime - $300

Number of goats in present herd:

Comments:

I authorize the above * information to be published in a Member’s Roster, at NDGA’s website, and Dwarf Digest: Yes No

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