SUBSCRIBE TO NEW YEARLY LBHA MEMBERSHIP - Large Black Hog Association

Thanks for your interest in becoming a member!

This form allows you to sign up for yearly, automatic payments until you cancel them. If you prefer to use a paper form, please download it by clicking here. You will then need to mail it with payment to:
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    LBHA
    1374 Hubbard Road
    Sheep Ranch Ca 95246
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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 payment each year, your account setup will be immediate!
Membership Type*
- Yearly Automatic Payment
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
$0.00

Thanks for your interest in becoming a member!