Membership Form CONTACT INFORMATIONName* First Last CompanyAddress* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Home/Business Phone*Mobile PhoneEmail* MEMBERSHIP OPTIONSSelect the membership option and follow the instructions.Membership OptionsRegular: 0 - 25 headRegular: 26 head or moreFeederRegular & Feeder CombinedAllied IndustryYoung ShepherdRegular Membership: 0 - 25 headAmount Due: $60.00 Price: $60.00 Quantity: Number of Ewes/Does as of January 1Regular Membership: 26 head or moreAmount Due: $100.00 + No. of Breeding Ewes/Does x $0.10 per ewe or doe Price: $0.00 Quantity: Number of Feeder Lambs/Goats as of January 1Feeder MembershipAmount Due: $100.00 + No. of Feeder Lambs/Goats x $0.03 per lamb/goat Price: $0.00 Quantity: Regular & Feeder Combined MembershipAmount Due: $100.00 + No. of Breeding Ewes/Does x $0.10 per ewe/doe + No. of Feeder Lambs x $0.03 per feeder Price: $0.00 Quantity: Allied Industry MembershipAmount Due: $75.00 Price: $75.00 Quantity: Young Shepherd MembershipAmount Due: $35.00 Price: $35.00 Quantity: Total $0.00 DONATIONSFor donations, enter the dollar amount in the blank field.California Guard Dog Fund Memorial Fund In Memory OfScholarship Fund PAYMENT INFORMATIONTotal $0.00 Payment Option*Credit Card/PayPalCheckRequest to be invoicedNameThis field is for validation purposes and should be left unchanged.