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Myotonic Goat Registry
3174 Valley Ford Road, Adger, AL 35006
Phone: 205-425-5954
Cell Phone: 205-451-9442
Email: myotonicgoatregistry@yahoo.com
myotonic@myotonicgoatregistry.net
Forms © Myotonic Goat Registry

Please fill in this form in its entirety, failing to do so will result in the MGR not being able to complete your requested paperwork. We currently accept MasterCard, Visa, Discover, American Express, Bank Transfers, and PayPal Balances.
Minimum purchase of $20.00 is required for Credit Card use. Be advised, NSF check return fee (bounced check) $30.00.

Breeder’s Number Application, including Herd Suffix
Name : 
Farm or Ranch Name : 
Address : 
City or Town : 
State/Province : 
 or Province
Zip / Postal Code : 
Phone : 
Fax : 
Email : 
USDA Premises ID Number : 

Website URL :
(optional, for MGR website) 
  Herd Suffix  (three letters, numbers or combination of - examples: ABC, CB3, 188)
1st Choice
2nd Choice
3rd Choice
Would you like your contact information placed in the MGR's online Directory?

USDA Premises ID numbers will not be posted to the public.
There is no fee to list your herd suffix. It will remain with you as long as your annual assessment of $24(twenty four dollars) is met on January 1st each year. To figure your fee if applying after February 1st of any year, multiply $2.00 by the number of months left in the year.  You will be invoiced in November for the next year’s breeder fee.

Signature of applicant_____________________________________________

Print, Sign, and Mail your completed application with the breeder’s fee to:
Myotonic Goat Registry - 3174 Valley Ford Road - Adger, AL 35006

Recommended by (signature) _____________________________________________ MGR Breeder ID # _______
Print using the below button or your web browser!