Choose the membership registration that works for you. New Member Registration Please select a valid form Today's Date Registration Choice * New Member Fee $50 Membership Renewal Fee $25 Corporate Sponsor Fee $1,000 Farm Type * Goat Milk Cow Milk Other Farm Name * Farm Contact Person * Company (optional) Please provide a company name, if you are a corporate sponsor. First Name * Middle Name Last Name * Username * Password * cancel1 check1 Eight characters minimum cancel1 check1 One lowercase letter cancel1 check1 One uppercase letter cancel1 check1 One number cancel1 check1 One special character Please enter and confirm your password. Confirm Password * Email * Address (P.O. Boxes will not appear on Google Maps) * Address Line 2 City * State * ALAKARAZCACOCTDEDCFLGAHIIDILINIAKSKYLAMEMHMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY Postal Code * Phone * Cell Phone Website/URL Show My Listing * Yes No Farm Description * Visual Code Farm Images Drop a file here or click to upload Choose File Maximum file size: 2MB Comments: Provide special instructions or a way to contact you. Show My Farm Information on the Map * Yes No reCAPTCHA If you are human, leave this field blank.
