Membership Application (Digital Submission)

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Digital Membership Application Form

This is a digital application form. You can choose to submit your membership application here and then pay physically in person at our booth at any MBGBA swap meet, physically by mailing a check or money order (made out to "Michigan Bird and Game Breeders Association"), or through online payment (which will include a $1.50 convenience fee, so the end price will be $16.50 or $31.50).

For digital payment, please -->>click here<<-- AFTER
filling out and submitting the following form.

Fill in all sections and click submit.

* Indicates required field

NEW or RENEWING membership? *

NEW RENEWAL

Membership Type *

Single, Physical ($30) Single, Digital ($15) Family, Physical ($30) Family, Digital ($15)

Payment Options *

In Person Mail-in Digital/Online

please make checks/money orders payable to: Michigan Bird and Game Breeders Association

Select which info you would like to include in your breeder directory listing: *

Phone Number E-mail address Website Facebook Other socials None of the above

Where would you like us to include the selected info? *

Digital Breeder Directory Hard-Copy Breeder Directory Neither

Please note: Your NAME will be included in both directories, for accountability purposes, so that your membership status may be ascertained at any time.

For transparency and reference, we will automatically include the name, general location (city/state), and types of animals of all of our members in the public and hard copy membership directories. This gives you proof of membership to show, and prevents others from lying about membership status.

I UNDERSTAND THAT MY NAME AND CITY WILL BE INCLUDED IN BOTH THE PHYSICAL AND ONLINE DIRECTORIES. *

I understand and agree to this

Name *

First

Last

Business name (if applicable) *

Phone Number *

Email (if applicable) *

Website (if applicable) *

Farm Facebook Page (if applicable) *

Other Social Media (if applicable) *

This section is for you to add other your other social media handles for sites like Bluesky, Instagram, X, Tumblr, etc. Please remember these will be connected to your real name and contact info on the directory, and exercise caution if linking personal accounts.

Address *

Line 1

Line 2

City

State

Zip Code

Country

Which birds/animals do you breed? *

Your entries here will be included on the online breeder directory page, so that buyers may find you when looking for those species. This will help you to sell more of your animals!

Which birds/animals do you breed (continued) *

Submit

Digital Membership Application Form

Fill in all sections and click submit.

Imlay City - April 25th, 2025

Location: Eastern Michigan Fairgrounds
195 Midway Street
Imlay City, MI, 48444

Click here for Google Maps

Contact Us

Digital Membership Application Form

Fill in all sections and click submit.

Imlay City - April 25th, 2025Location: Eastern Michigan Fairgrounds195 Midway StreetImlay City, MI, 48444Click here for Google Maps

Contact Us

Imlay City - April 25th, 2025

Location: Eastern Michigan Fairgrounds
195 Midway Street
Imlay City, MI, 48444

Click here for Google Maps