SUBSCRIBE TO NEW YEARLY LBHA MEMBERSHIP

Thanks for your interest in becoming a member!

If you want to make a one off payment or sign up for lifetime membership, please use the appropriate menu option. This form allows you to sign up for yearly, automatic payments until you cancel them.

Please fill in the details below and pay by clicking on the button at the bottom of this page. Your account will be created once your payment is received and verified. Because you have chosen to make a regular subscription each year, your account setup will be immediate! Paypal accepts check payments as well.

Membership Type*

Yearly Subscription

Total

$0.00

Name*

First Last

If you have multiple names, please fit them in the fields above.

Email*

Enter Email Confirm Email

Farm Name*

Please enter a name for your farm, business, hobby farm, etc. Use your name if you don't have anything else.

Address*

Street Address City State / Province / Region ZIP / Postal Code Country

If you don't have a street address then please put your PO Box number in the Street Address field.

Phone*

Website

If you have a website you would like us to link to then please enter it here.

I Will be Selling Pork

I will sell pork

If you check this box then visitors to our site will be able to see quickly whether you sell pork or not.

Show in Membership List

Show My Details

If you check this box then your contact details will be shown in our membership list on the website. This is a great marketing tool. You can change this option at any time.

Preferred hog name prefix*

When you register hogs that were born on your farm they inherit their name from there. Example: hogs born on Joe's Farm can be named "Joe's Matilda 4/1 *0123", "Joe's Farm Matilda 4/1 *0123" or "JF Matilda 4/1 *0123". Please enter your preference for your hogs (limited to 15 characters). It may not be possible to use your preference.

Preferred Login Name*

This will be used, if possible, to log you into the LBHA website so that you can use the membership tools. Even if you don't want to use these features you will need an account so that your details will be on the membership list.

Password*

Enter Password Confirm Password

Strength indicator

The password you will use to login.

Comments

Total

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