The Breeders Choice Registry
MEMBERSHIP APPLICATION
* denotes required fields
Individual Membership
Annual Fee: $40.00		 Junior Membership
Annual Fee: $15.00		 Ranch/Family Membership
Annual Fee: $60.00		 Lifetime Membership
One-time Fee: $300.00
Your First Name:
*		  
Full Name of person applying for USBGA Membership:
*		  
Mailing Address:
*
 Home Phone:
*
Physical Address:
 Work Phone:
City, State, Zip:
*		 Fax:
Farm or Ranch Name:
 E-Mail address:
*
Referred By:
  
Credit Card Number (Visa, MC):
  
Exp. Date:
  
A herd tattoo (unique tattoo prefix of up to 4 characters) may be selected when application for membership is filed. - Individual/Ranch or Family Fee: $5.00 - Lifetime Fee: No Charge -- Without a Membership: $10
Application for a tattoo filed after membership is established must be submitted on a separate form. Fee: $10.00
First Choice:
*		 Second Choice:
*		 Third Choice: *
Additional Comments:

Each potential member must read and accept the Code of Ethics provided below before membership in the USBGA will be granted.Adoption of the Code of Ethics will be evidenced by the signatures below. These signatures will also be recognized as legal Signatures on the USBGA documentation associated with this membership. If you need additional space, please continue on back of membership application.

Code of Ethics:

"As a member of the USBGA, I am bound to represent this association through its documented fundamental goals. These are to produce, promote, and market the Boer Goat through honest and ethical representation. As a member I will abide by the Code of Ethics of the USBGA. I understand that failure to comply with the USBGA Code of Ethics may result in suspension or expulsion of all parties associated with this membership as set forth in the Bylaws of the USBGA."


 



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