Nigerian Dwarf Goat Club of Florida 2021-2022 Membership Application/Renewal Form

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MEMBERSHIP DUES ARE $25.00 FOR INDIVIDUAL/FAMILY/FARM OR $10 FOR YOUTH (MUST BE UNDER 18 YEARS OLD), PER YEAR AND ARE DUE ON JANUARY 1ST AND RUN UNTIL DECEMBER 31ST.

NOTE: FOR DUES PAID IN 2021JUNE 3OTH AND AFTER WILL BE GOOD THROUGH DECEMBER 31ST 2022. ONE VOTE PER MEMBER/FAMILY/FARM. NO VOTE FOR YOUTH ONLY.

DUES ARE TO BE PAID IN FULL FOR MEMBERSHIP TO BE COMPLETED. THEY CAN BE PAID BY PAYPAL (FRIENDS/FAMILY) TO ndgcf@ndgcf.com. OR MAILED TO DIANE KLIEGER, 15617 ALDERMAN TURNER ROAD, WIMAUMA, FL 33598

NEW MEMBER OR RENEWAL *

NEW MEMBER

RENEWAL

FIRST NAME *

LAST NAME *

ADDRESS *

CITY *

STATE *

ZIP CODE *

PHONE *

EMAIL *

WEBSITE (put none if you do not have one) *

HERD/FARM NAME (put none if you do not have one) *

PLEASE VERIFY WHAT INFORMATION YOU WANT LISTED ON THE NDGCF.NET WEBSITE. *

NAME

STREET ADDRESS

CITY, STATE, ZIP

PHONE

WEBSITE

HERD/FARM NAME

Required

MEMBERSHIP CHOICE *

INDIVIDUAL/FAMILY/FARM @ $25

YOUTH @10 (MUST BE UNDER 18 YEARS OLD)

METHOD OF PAYMENT *

PAYPAL TO NDGCF@NDGCF.COM (FRIENDS/FAMILY)

CHECK SENT USPS/OR PAID CASH

WHAT TOPICS WOULD YOU BE INTERESTED IN DISCUSSING/LEARNING AT OUR BI-MONTHLY MEETINGS?

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