Membership Rates:

               Individual  & Family  $15.00                                   Junior  $10.00

Membership is from January 1 to December 31 of each year

Type of Membership (circle one)     Single & Family             Junior (16 & under)

Farm Name:  ___________________________________________________________________

Name:  _______________________________________________________________________

Address:  ______________________________________________________________________

City:  __________________________________  State:  _____________  Zip Code:  __________

Telephone:  (_____)____________________________

E-mail:  _______________________________________________________________________

Website URL:  __________________________________________________________________

Goat Breeds:  __________________________________________________________________

Would you like your information listed in the NMBC website membership roster?  YES  or   No

Please make checks payable to National Mini Nubian Breeders Club and send to:

                                                                                     Kim Albano
                                                                                     156 S. Ironstone Drive
                                                                                     Boyertown, PA 19512

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