IGEA Online Membership Form

Please choose type of Membership: *

Individual Annual $ 25.00 Individual Lifetime $150.00 Family/Farm Annual $ 35.00 Family/Farm Lifetime $200.00 Youth (under age 18) Annual $ 15.00 Associate Annual $15.00 Associate Lifetime $100.00

*** All field boxes for information with the red* in this application must be filled for this online application to be submitted. Any parts of this application that do not apply to you, please simply type "na" (for not applicable), in those blank fields. Thank you

Primary Name: *

First

Last

If, renewal, IGEA Membership # *

If Youth, Date Of Birth: *

Spouse/Partner/Significant Other Name: *

First

Last

Parent/Guardian signature required for Youth applicant. Parent/Guardian Name and Date below, serve as Parent/Guardian signature permission for Youth, under 18 years of age.

Parent/Guardian Name: *

First

Last

Date Of Signature *

If Family/Farm Membership, Please list Family/Farm Members and include Date of Birth for any Youth Members.

Name: *

First

Last

If Youth, Date Of Birth: *

Name: *

First

Last

If Youth, Date Of Birth: *

Name: *

First

Last

Name: *

First

Last

If Youth, Date Of Birth: *

This Membership Application will be sent to the IGEA when you click the "submit" button at the bottom of this Form.

Regarding PayPal Payments: You can use the link posted above this form to go to PayPal.com and pay your Membership Fee via PayPal to: igearegistry@gmail.com McGraw Herd Books sponsors and provides all administrative services for IGEA.

Please include Primary Name on Membership Application in the note/comment field at the PayPal website when you make your payment.

Any Checks or Money Orders must be made Payable to: McGraw Herd Books. Thank you.

In submitting this application, I accept and agree to abide by IGEA rules, regulations and standards as an IGEA Member. *

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Membership

IGEA Online Membership Application