Alpaca Membership Registration Form

Success! Your Membership form has been submitted to the office.
You will receive an Invoice shortly!

Renew Type

Renew Type Membership Renewal New Membership
Name(s)

Membership name(s) should be the same as the name used on your animal’s certificates. Please use full name(s).
Breeder ID

If you are aware of it
Farm Name
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone Phone - ### - ### ####
Cell Cell - ### - ### ####
Work Work - ### - ### ####
Email
Web Site
Membership Type

1) Option A $150.00 (+ GST/HST)
($160.00 + GST/HST After January 31st)

2) Option B $275.00 (+ GST/HST)
($285.00 + GST/HST After January 31st)

3) Alpaca Canada Business Industry Non-Owner Membership
($50.00 + GST/HST)

4) A/C Junior Membership – Under 17
($25.00 + GST/HST)

All Taxes are by Federal and Members Provincial tax rate, where applicable.
Membership Type
I, or we do hereby apply for membership in the Canadian Llama and Alpaca Association and Alpaca Canada. I, or we do hereby agree to conform to the code of conduct and bylaws of both the CLAA and Alpaca Canada, to
pay the membership fee's as specified.
Signature of Applicant/Signing Authority of the Account
Draw your signature into the box below.

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Payment Information
Payment Type

Payment Type Cheque VISA MasterCard E-Transfer