Name: PA Holstein Association Membership - 2022/2023
SKU: 2282
Availability: InStock

Local Association

Membership Solicitor

Membership ID Number

First and Last Name*

Address

Address 2

City

State

Zip Code

Farm Prefix

Phone Number

Fax Number

Email Address

Membership Level

A. MEMBERS WITH 1-99 COWS ($125.00)

B. MEMBERS WITH 100-499 COWS ($250.00)

C. MEMBERS WITH 500 OR MORE COWS ($500.00)

D. ASSOCIATE MEMBER RELATED TO A PAID MEMBER FARM ($80.00)

E. SUPPORTER MEMBERSHIP ($70.00)

$0.00

Membership Type

Dairy Farmer

Agri-Business

Non-Listed

National Member?

Yes

National ID Number

OPTIONAL: Contribution to Reserve Fund$0.00

PLEASE NOTE we impose a surcharge of 3% of the transaction amount on credit card purchases. This amount is not greater than our cost of acceptance. Online credit card payment options are: Visa, Mastercard or Discover card ONLY.

The surcharge will be added at the check out page.

PA Holstein Association Membership – 2022/2023