Application for Membership

Please print out this form first, then fill in all the needed information.
Membership Name  
Show Name   
Address  
City/State/Zip  
Date of Birth  
Phone  
Email  
Recommended   
Visa/MasterCard
We don't accept credit card orders under $25		  
Expiration date  

Junior Membership (18 and under) - 1 year $15.00, 3 year $40.00
*Individual Annual Membership - 1 year $20.00, 3 years $50.00
*Annual Membership (outside US and Canada) - 1 year $40.00
*Endowment Trust Life Membership* (for individuals only) - $260.00
(US and Canada) $520.00 for other international members
Associate Membership - $25.00 annual dues 
(for organizations wishing to hold a sanctioned show)
In addition to the quarterly newsletter, these* memberships earn points in the Master Exhibitor's program and receive the annual yearbook.


Remittance in full MUST accompany application. Print out this form, and mail to:
 The American Poultry Association Membership Form
  PO Box 306 Burgettstown PA  15021
(724) 729-3459