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Myotonic Goat Registry
3174 Valley Ford Road, Adger, AL 35006
Phone: 205-425-5954
Cell Phone: 205-451-9442
Email: myotonicgoatregistry@yahoo.com
myotonic@myotonicgoatregistry.net
Forms © Myotonic Goat Registry

Please fill in this form in its entirety, failing to do so will result in the MGR not being able to complete your requested paperwork. We currently accept MasterCard, Visa, Discover, American Express, Bank Transfers, and PayPal Balances.
Minimum purchase of $20.00 is required for Credit Card use. Be advised, NSF check return fee (bounced check) $30.00.
Registration Application

Current Owner's Name : 
 Breeder ID #
Address : 
City or Town : 
State/Province : 
 or Province
Zip / Postal Code : 
 Phone : Fax :
Animal's Name : 
 Date of Birth:
Sex:
No. In Birth: No. of Bucks No. of Does
Horns:
Degree of Myotonia: Purebred: If NO % Myotonic:
Hair:
Skirted: Color:
Eye Color: Myotonic Line:
USDA Premises ID #:
 USDA Scrapie Tag #:
Tattoo Right Ear:
Tatoo Left Ear:
General Eartag #:  
 Microchip #:
Sire: Registered Name
 Sire: Registration # 
Owner of Sire:
 (at time of service) Breeder ID #
Dam: Registered Name
  Dam: Registration # 
Owner of Dam
(at time of service) Breeder ID #
If neither the sire nor the dam were previously registered, the breeder,  general source or area of origin is requested:
*

I certify, with my below signature, that all information given by me in this application is true and correct to the best of my knowledge and hold myself responsible for said information.

Signature of applicant_____________________________________________

Two pictures of one side of the goat must accompany the application. Photo should be approximately 2 ½“ x 2 ½“ in order to fit on the registration certificate. If using digital photography and printing them yourself use quality photo paper in gloss or semi gloss so as to retain image clarity for many years. Registration fee is $8.00(eight dollars) per goat. You must have an active Breeder Number with the Myotonic Goat Registry to register a goat or obtain a replacement registration. Print, Sign, and Mail your completed application with photos and the registration fee to: Myotonic Goat Registry - 3174 Valley Ford Road - Adger, AL 35006

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