Mid-Atlantic Friesian Association

Registration Form

About Your Privacy:


When you register online, your information will be forwarded to the appropriate contact person at MAFA. Soon after receiving your registration request, you will be notified regarding your dues payment. If you would rather mail this form with a check, you may do so by mailing it to:
 
Jill Jakulevicius
13153 Rounding Run Circle
Herndon, Va 20171

We never share sensitive member information with anyone outside of the club, and only within the club if you have expressly given your permission. So, you can register in confidence. Thank you!



      
Registration Form

Please note that annual dues are $35.00 Individual), $45 (Family) and $50 (Business). You will be sent payment options once you have registered.

Under Membership Type please put if you would like to become a full member or an associate member. Full membership meansthat MAFA is the only chapter you belong to, and gives you voting rights in MAFA. Associate membership means that you have joined or will join other FHANA chapters, and forego any voting rights in MAFA.

First Name: *
Last Name: *
Farm Name:
Membership Type:
Website:
City: *
State: *
Zip: *
Country:
Contact Phone: *
Do You Own Any Friesians?:
Email: *
Password: *
Re-type Your Password: *