MDGA Membership form
Email address *
(include in member listing/website y/n?) *
Herd name/Farm Name *
(include in member listing/website y/n?) *
Last name, First name - for each person on this membership *
(include in member listing/website y/n?) *
Address - Street address *
(include in member listing/website y/n?) *
Address - City, state, zip *
(include in member listing/website y/n?) *
Phone number *
(include in member listing/website y/n?) *
Website Address
(include in member listing/website y/n?) *
Breeds you own - check all that apply
Services you provide - check all that apply
Type of Memberships: (With a Membership you will be listed on the Membership list and Breeders listing Free on the Web) *
I will be paying by ____ (please enter in other) Please make all checks payable to MDGA and mail to MDGA Treasurer, Astrud Wheeles, 5729 Pindell Rd., Lothian, MD 20711. Or send to Paypal using mdgatsr@gmail.com - use the friends and family feature *
Would you like your email added to the MDGA e-groups newslist? *
How do you want to receive the MDGA Newsletter?
Clear selection
I would like to make a donation to the show, amount or items listed below.
A copy of your responses will be emailed to the address you provided.
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