Professional Documents
Culture Documents
Work Order Blank
Work Order Blank
Work Order Blank
Membership #
Farm Name
Flock Prefix
Address
Date
Daytime Phone #
Email Address
Website
Please Note: Your member information will be shown on the FCSA website unless advised otherwise.
Check one of the following:
Current Member
Price
A. 1. New Membership
A. 2. Membership Renewal
B. 1. New Junior Membership (Age 18 and under; first year of membership is free)
B. 2. Junior Membership Renewal (Age 18 and under)
C. 1. Registrations (Member price)
C. 2. Registrations (Nonmember price)
D. 1. Transfers (Member price)
D. 2. Transfers (Nonmember price)
E. 1. Duplicate Certificate (Member price)
E. 2. Duplicate Certificate (Nonmember price)
F. 1. Same Day Service (per each registration & transfer -- Member price)
F. 2. Same Day Service (per each registration & transfer -- Nonmember price)
G. Special Handling
1. UPS Overnight Delivery (direct payment to UPS)
2. Postal Overnight, USPS (two-three day delivery)
3. Priority Mail, USPS (four-five day delivery)
H. Other Fees (please describe:)
$25.00
25.00
Free
10.00
5.00
10.00
5.00
10.00
10.00
20.00
5.00
10.00
$
$
$
$
Orders without proper fees will NOT be mailed until paid in full
Total
(Call)
21.00
5.75
Updated 10/9/2015