NEW MEMBER APPLICATION

This form is intended for applying for a NEW membership with the ADGR. Payment via paypal will be required to complete this form. If you wish to renew an existing membership, please use the Membership Renewal form instead.

nEW mEMBER INFORMATION

Name

First and Last Name, eg. John Doe

Herd Name

Please include up to three herd name choices in case your first is taken.

Tattoo Choice (up to 4 characters)

Please include up to three tattoo choices in case your first is taken.

Address

Address, City, State, Zip Code

Phone Number

Membership Types

*Lifetime Membership $200

Annual Membership $25

Youth Membership $10

4H Membership (free)

*Lifetime Membership Benefits

No Annual Dues
Free Registration of 15 Goats
ADGR Logo Gift
Lifetime Herd Name & Tattoo
Exclusive Foiled Membership Certificate with Folder
Exclusive Foiled Herd Name Certificate with Folder

My submittal of this form serves as my signature and authorization for the ADGR to add me as a member of the organization with the designated herd name and tattoo as ascribed above.

Thank you for joining the ADGR!

Don't Forget to add the cost of your herd name & tattoo when submitting payment.

Herd name & Tattoo : $15

Lifetime Herd Name & Tattoo: $100

(free if you select Lifetime Membership)

Once you've submitted your form, click on the button below to make a payment if you selected an annual membership, lifetime membership, or youth membership!

American Dually™

Goat Registry, LLC

New Member Application

nEW mEMBER INFORMATION