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* Association
(Associations not listed do not allow electronic membership application)

Please read New Member Instructions(PDF File)

* Member Name	ID Number
Name of Voting Member (Required for Partnerships, Farms and Companies)
* Address
* Town/City	* Province/State	* Postal Code Zip Code
*Country	Country, if "Other" selected
Phone	Fax
* E-Mail
Your Personal Web Page Address, if any
Select Membership Type (refer to Association Fee Schedule for valid types and fees)	Birth Date (required for Junior or Youth Members)

Application for Tattoo Letter Combination

First Choice Second Choice Third Choice

Herd Names are used for naming animals

	* Fee	5% GST (Canadian residents except NF, NB, NS)	13% HST (NF, NB, NS only)	* Total
Membership
Tattoo Letters
Herd Name or Prefix
			Grand Total

Visa
Master Card
American Express

* Credit Card Number * Expiry Date
* Name on Card

I agree (Required)