Membership Application
Please mail completed application & fees to the PDGA Treasurer Tiffany Fach, 60 Fawn Ln, Newport PA  17074

Herd Name
Owner's Name

Address

City
State Zip
Phone

Email


Breeds Owned (check all that apply)
Alpines Lamancha Nubian Oberhasli Saanen
Toggenburg Rec. Grade Pygmy Nigerian Dwarf

Buck Service For


Check all that apply
Linear Appraisal HES Semen for Sale AI Service DHIR
Raw milk license Commercial Dairy Pasteurization

Single Membership $10.00
Double Membership $15.00 (any 2 people in the same household are a double)
Each Junior Member membership (12-21 yrs.) $4.00
Each Novice Member membership $1.00

  One year Breeders Listing (Jan to Dec) $10.00
  One year Business card ad (newsletter) Jan to Dec) $10.00
One year Business card ad (website) Jan to Dec) $10.00
Donations

Total