Name of Member                                                                     

   Additional Names (partner, spouse, child) (optional)

   Farm, Ranch, or Business Name (optional)

   Street/Road Address

   City    State    Zip code    

   Phone number       2nd Phone number (if needed)

   Fax number (optional)     E-Mail Address (optional)

   Website (to list on IKGA Website) (optional)

   How many goats do you own currently ? (optional)

   What breeds of goat do you own currently ? (optional)

   What type of membership are you applying for ?

    Lifetime Membership $500                Membership $50             Associate membership $35            Junior membership $5

   What Herd Prefix would you like to use ? (3-4 characters)     First Choice   Second Choice

   Other comments

   "I hereby make application for membership in the International Kiko Goat Association, Inc. (IKGA) agreeing to conform to the code of ethics and by-laws governing this association and certifying that the information I have provided in this application is accurate"         

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