Official Agency Application

Instructions

Requirements:

Official Agency Member must be the animal health department or agency of a state, U.S. territory or commonwealth, District of Columbia; animal health department of the U.S.; and such other governmental departments or agencies as the Board of Directors may approve.

*Please email a summary of activities, directives or other relevant information about your agency that pertain to the goals of USAHA to usaha@usaha.org.

Select An Option

Official Agency $950 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

Please select a valid membership option and fee item if exist