Iowa Meat Goat Association

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	Please print, complete, and mail this form to: Daniel Palmersheim, Secretary Iowa Meat Goat Association 2241 220th Street Manchester, Iowa 52057 email: kpalmersheim@iowatelecom.net Cell: 563-920-8300 Make Checks Payable to: Iowa Meat Goat Association Annual dues shall be waived for the next year for persons becoming members or renewing membership during the last quarter (October/ November/December) of the current year. All memberships must be paid in full by February 15, 2008 to be eligible to vote at the Annual Meeting for Board of Directors. Farm Memberships received and paid in full by February 15, 2008 will be listed in the IMGA brochure and will receive up to 5 family reduced rates for IMGA Educational Events. Regular Memberships receive 2 reduced rates for IMGA Educational Events. All Memberships will receive a quarterly IMGA Newsletter. The IMGA Website membership information will be updated monthly.	*Please list membership information exactly as you want listed in the IMGA Brochure and/or on the IMGA Website.* Date:__________________________ New Member _____ Renewal _____ Name(s):_________________________________________ Farm or Ranch Name:_______________________________ Address:_________________________________________ City, State & Zip:___________________________________ Contact Phone:____________________________________ Cell Phone (if want published): ________________________ Email:____________________________________________ Website: _________________________________________ Membership Types and Fees: Type of Membership (Check one): ___ *Farm--$35/year* Quarterly IMGA Newsletter, two votes, Farm listed in the IMGA Brochure, up to 5 family reduced rates for IMGA Educational Events. ___ *Regular--$25/year* Quarterly IMGA Newsletter, one vote, 2 reduced rates for IMGA Educational Events. ___ *Junior--$12.50/year* Quarterly Newsletter and NO vote. Youth under 18 years of age. ___ *Associate--$25/year* Quarterly Newsletter and NO vote *Please list additional membership information for the IMGA membership records so we can better serve you.* Home Phone: ________________ FAX: ________________ Alternate Phone: __________________________ Cell Phone: ______________________________ ABGA Membership # ________________ County: __________________________________________ Number of Breeding Does on your farm: _______________ I am a: (check all that apply) ___ Meat Goat Producer ___ Breeding Stock Producer ___ Show Wether Producer ___ Exhibitor at Meat Goat Shows

Membership Application