Crossroads of America Nigerian Dwarf Dairy Goat Club
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Memberships are valid from January 1st through December 31st.
If you are a new member, please use our
New Membership
form.
Renew your 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
*
Individual ($15)
Family ($20)
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
Brag Page
Fundraisers
Supporters
CONTACT COA