Join or Renew Membership

Membership Name: Consider your “Membership Name” carefully, as this is the name that should be used at all shows and will be used to accumulate APA points. Additionally this name is what will appear in all publications when referring to your wins and is used for any mailings. *

Name *

Street Address

City, State/Province, ZIP/Postal Code

Country

Email *

Phone *

New Membership or Renewal?

New

Renewal

Please select:

Adult Annual Membership $25 (Canada and United States ONLY)

Adult 3-year Membership $65 (Canada and United States ONLY)

Endowment $450 (Canada and United States ONLY)

Junior Annual Membership $20

Junior 3-year Membership $50

International Annual Membership $50 (outside of Canada and United States)

International Endowment $900 (outside of Canada and United States)

Birth Date

Quantity

Total

Note to the APA Secretary

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Tri-State Poultry Association Show

Tri-State Poultry Association Show

Saulk Trail Poultry Club Double Show

Kingston & District Poultry & Pet Stock Association Show

Newton county fair poultry show

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