State Affiliate Member Application

Instructions

Requirements:

Open to any state affiliate animal industry or animal health group that is a member in good standing of an allied organization belonging to USAHA.

USAHA membership is based on the Calendar Year.

Select An Option

State Affiliate $250 Annually

Enter Contact Information

Prefix (i.e. Mr. Mrs. Dr.)

First Name

Last Name

Suffix (i.e Jr. Sr. III)

Designations

E-mail

Family NameBusiness Name

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