Midwest Goat Producers Application for Membership

Farm Name:______________________________________________________________________________

Names of members: _______________________________________________________________________

_________________________________________________________________________________________

Address:  ________________________________________________________________________________

City: ___________________________ State: ________ Zipcode: ___________________

Phone Number:  _________________________ E-mail: _________________________________________

Website: _________________________________________________________________________________

Areas of interest:

___ Meat Goats  ___ Dairy Goats   ___ Pygmy Goats

___Commercial   ___ Fullblood/Purebred   ____ Percentage   ____ Show  ____ Other_______________

Please print this form, fill it out, enclose a $20 check payable to Midwest Goat Producers and mail it to:

Vicky Wetzel

Deer Haven Farms

13505 E Dix Texico Road

Texico IL 62889