Membership Application – Online Form – Part One

Use the form below, to submit your application online, for membership in the Michigan Boer Goat Association, Inc. The information you provide on your application will not be published, unless you have specifically opted to release your member profile for publication in the MBGA Member Directory and Newsletter.

ONLINE SUBMISSION FORM:


APPLICATION TYPE Check One

 

MEMBERSHIP LEVEL Check One

 

MEMBERSHIP PROFILE Please provide the following information for your membership record

 

MEMBERSHIP COMPLIANCE VERIFICATION Applicants must verify that they have read, understand, and agree to the requirements for membership

 

AUTHORIZATION TO PUBLISH Check All That Apply

 

ADDITIONAL INFORMATION This information intended for internal use only and will not be published or exchanged


Verify your online application by entering the CAPTCHA Code shown in the image below.  If you are having difficulties making out the numbers or letters depicted, click the small icon located just to the upper right of the image box to display a new code.

Once your information has been submitted, you will be redirected to the payment portion of this online transaction.

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NOTE: A $1.00 transaction fee is added to all PayPal transactions.