Membershipform
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Asian Gamefowl Society of America and Canada
O NAME
O ADRESS
O ZIP / POSTAL CODE
O CITY
O STATE
O COUNTRY (USA - CANADA)
O TELEPHONE
O MOBILE PHONE
O FAX
O BREEDS LARGE
O BREEDS BANTAM
Please
tick boxes for the information being displayed in the AGS
memberlist. Mandatory data (name,
state, country, gamefowl breeds and telephone/mobile nr, email
address). Incase the address is not ticked - your address data is
only only used for postal purposes.
Membershipfee
= 25,- USD or Canadian Dollars (membership includes yearbook +
detailled memberlist)
Ways
of Payment
Accepted forms of payment : personal check, cash, money order (make payable to Charles Cartwright) or Paypal https://www.paypal.com/ once on PayPal click on "Send Money-online" and follow the instruction. Use this e-mail address rezaranch@hotmail.com to direct funds to my account.
Send Membershipform to
Chad
Cartwright (AGS contact)
1125 N Oak Park Dr
Springfield,Mo 65802
417-866-5934 - United States
email rezaranch@sbcglobal.net
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