DOWNLOAD MEMBER SIGNUP FORM BECOME A MEMBER Become a memberBusiness Name*StreetCity*State*Zip*Business Phone NumberBusiness Email* Business Facebook PageBusiness Instagram PageBusiness Twitter PageBusiness Website PRIMARY CONTACTName*Email* Website Pay by*Check By MailVenmoCredit CardIf you use a credit card, there is a processing fee of 2.9% + $ 0.30 If you would like to pay via Venmo, please send your payment to aga@americangrssfed.orgPlease enter last 4 Digit of Credit Card Number*Name on Card*Membership Types*Supporter ($100)Producer ($200)Stocker ($200)Membership FeesMembership FeesTotalTotalProcessing FeeSupporter ($100) Price: $100.00 Supporter ($100) Price: $100.00 Supporter ($100) Price: $50.00 Producer ($200) Price: $200.00 Producer ($200) Price: $200.00 Producer ($200) Price: $100.00 Stocker ($200) Price: $200.00 Stocker ($200) Price: $200.00 Stocker ($200) Price: $100.00 Credit Card Processing Fees Price: $100.00 TotalTotal Due $0.00 (Includes credit card processing fee of 2.9% + $ 0.30 ) FARM/RANCH INFORMATION# of Acres Under ManagementPlease select each animal you raise, enter the size of the herd, and if you want them to be certified. Beef Beef Beef Herd SizeBeef Seeking Certification Beef Seeking Certification Bison Bison Bison Herd SizeBison Seeking Certification Bison Seeking Certification Dairy Dairy Dairy Herd SizeDairy Seeking Certification Dairy Seeking Certification Goat Goat Goat Herd SizeGoat Seeking Certification Goat Seeking Certification Lamb Lamb Lamb Herd SizeLamb Seeking Certification Lamb Seeking Certification Pigs Pigs Pigs Herd SizePigs Seeking Certification Pigs Seeking Certification Poultry Poultry Poultry Herd SizePoultry Seeking Certification Poultry Seeking Certification Other Other Other Herd SizeOther Seeking Certification Other Seeking Certification PAYMENT Card Number Expiry (MM/YY) Card Code Card Postal Code This iframe contains the logic required to handle Ajax powered Gravity Forms.
