Be a MEMBER of ADGA, one of the most progressive livestock associations in the United States! Membership dues paid by March 1, 2015 means your membership listing will be included in the 2015 ADGA Membership Directory. Regular members will also be eligible to vote in the election of Directors. You may mail, call, email or fax in your renewal, which will update your membership status to active through December 31, 2015. If you are currently a Youth member and have not reached your 21st birthday, your renewal fee will be $10. Those Youth members who have reached age 21 since paying 2014 dues should send payment for Regular Membership dues. Payment of 2015 dues will entitle you to have work completed at membership rates. Regular members and Primary Youth members are eligible to receive a free Membership Directory and Guidebook. In what format would you like to receive the Membership Directory? CD Printed Copy 2015 Regular Membership Renewal by View at website 12/31/14 $20.00 ID#_____________ $_______ 2015 Regular Membership Renewal after 12/31/14 $25.00 ID#_____________ $_______ 2015 New Regular Membership $35.00 ID#_______________ $___________ 2015 Youth Membership Renewal $10.00 ID#_______________ $___________ 2015 New Youth Membership $10.00 Birth Date __________ $___________ For the benefits of your membership type, go to www.ADGA.org, select the About ADGA tab, and click Read More Member Benefits. Affiliate/Associate memberships have limited benefits. 2015 New Affiliate Membership $25.00 ID#_______________ $___________ 2015 Affiliate Membership Renewal $15.00 ID#_______________ $___________ 2015 New Associate Membership $25.00 ID#_______________ $___________ 2015 Associate Membership Renewal $15.00 ID#_______________ $___________ TOTAL $___________ Membership Name ____________________________________________________________ Phone (________) ________________________ Fax (_________) ______________________ Mailing Address ______________________________________________________________ City _________________________________________ State __________ Zip ___________ Physical Address also REQUIRED if mailing address is a PO Box: ____________________________________________________________________________ City ___________________________________ State _____________ Zip ______________ Email _______________________________ Website _______________________________ We do not wish to receive the ADGA newsletter. (list ID#’s) __________________________ What breeds do you own? Purebred _______________________________________________ American ________________________________ Grade______________________________ Breeds for which you offer stud service: ____________________________________________ Will you be using these programs in 2015? Linear Appraisal ______ Production Testing ____ VISA/MasterCard/Discover # ___________________________________ Exp. Date _______ I verify that the information submitted is correct. I understand that misrepresentation will cause the forfeit of my membership. Signature _____________________________________________ Date __________________ ADGA • PO Box 865 • Spindale NC 28160 Fax (828) 287-0476 • Phone (828) 286-3801 • [email protected]
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