YEPA Membership Application

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This form is for new members to alleviate having to print and mail the paper membership form.
Youth Exhibition Poultry Association
Dues - $10 per year US or $20 per year outside the United States
You may submit this form and then pay via the PayPal option on the website.

Youth Member Full Name *

Member age and date of birth *

Mailing Address *

Parent/Guardian Name(s) *

Phone number *

Email *

Are you a member of: (check all that apply)

The American Poultry Association (APA)

The American Bantam Association (ABA)

FFA

4-H

Do you plan to participate in our ACE program? This is the educational workbook levels. *

Yes

Maybe? I'd like more information please.

If you said YES to the ACE question, which workbook do you need?

Pre-Junior (recommended for ages 5 and below)

Coop Tender (recommended for all new YEPA participants age 6 and up unless other arrangements are made)

Clear selection

If you said yes to the ACE question and need a workbook, would you like it emailed as a PDF for you to print and assemble your book, or would you like a mailed copy of the workbook pages?

Emailed is fine!

Please mail the copies

Clear selection

Will you be paying via PayPal on the website, or mailing a check? *

PayPal

Check in the mail

Total Calculator *

US Membership Dues $10

Membership dues outside the United States $20

Pre-Junior workbook emailed PDF $7.50 (recommended for age 5 and under)

Pre-Junior workbook pre-printed pages mailed $10 (price change effective 10/1/21)

Coop Tender workbook emailed PDF $8.50 (recommended for age 6+)

Coop Tender workbook pre-printed pages mailed $11 (price change effective 10/1/21)

Required

Total to be submitted: *

Submit

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