COA Nigerian Dwarf Dairy Goat Club

Crossroads of America Nigerian Dwarf Dairy Goat Club

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Memberships are valid from January 1st through December 31st.
If you are an existing member, please use our Renewal Membership form.

Apply for Membership to COA

* Indicates required field

Name *

First

Last

Farm Name *

Phone Number *

Alternate Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Website *

Type of Membership *

Which registries are you a member of? *

NDGA ADGA AGS NONE

Select all that apply

Approximate # of Nigerians in your herd *

How did you hear about COA? *

Internet Search Social Media Goat Show (Please list name below) Referral (Please list name below) Other (Please list below)

Untitled *

Why do you breed Nigerian Dwarf goats? *

Milk Pets Show Hobby Business Other

I authorize the above information to be published in COA member lists and/or website and social media pages. *

Yes No

Initial to sign application *

**All COA NDGC Club shows and clinics are for CLUB MEMBERS ONLY**

Make checks payable to COA NDGC or Paypal (Friends and Family) [email protected]
Mail Forms along with payment to:
Erica Hopkins
Attn: COA NDGC
637 N County Road 400 W
Logansport, IN 46947

Choose One *

I will pay via PayPal I will mail a check

I agree to receiving marketing and promotional materials

Submit

PayPal @COANDGC

Home
Membership
Shows and Events
Breeders Directory
Fundraisers
Supporters
CONTACT COA