Membership Submission Form

Name (all persons included in this membership, if a family)(required)

Email:(required)

Address:(required)

Website:

Best form of Contact:

Membership Type:(required) Family or Individual: $20 Child: $12

Do you wish to have your contact info displayed on our Membership Directory?(required) Yes No

Will you send us payment via email to pnwminidairygoatclub@gmail.com or must we invoice you?(required) Invoice Please! I will send payment right away!

What Breeds do you own?

Submit

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