Become a NAAB Member

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Type of Membership: *

Applicant Information

Application is hereby made for membership in the National Association of Animal Breeders, Inc. to be issued in the name of:

Names & Addresses of Owner(s)

Type of Organization

Select an organization type: *

Business Activity

Semen Production & Sale

Number of units of semen sold and marketed through insemination service and direct semen sales during your last fiscal year: *
Number of units of semen purchased during your last fiscal year: *

Custom Freezing

Number of units of semen custom frozen during your last completed fiscal year: *

Date Business Activity Initiated

Intended reporting for delegate calculation purposes (regular member applications):

Note: This information is for administration purposes. Reporting is to remain consistent for each calendar year. Changes should be communicated to NAAB Administration before the end of the calendar year.

Administrative & Management Personnel

Please fill in all positions that apply: *

Officers & Directors

Please fill in all positions that apply: *

Suits or Judgments

Have any suits or judgments been filed against applicant? *

Criminal Convictions

Has applicant or any of its principal officers been convicted of a felony? *

References

Business References

List two or more persons affiliated with NAAB REGULAR MEMBER ORGANIZATIONS familiar with your operation as references. Please obtain approval from all persons listed. List name and address of each AI organization.

Terms & Payment Information

Terms & Acknowledgment

A remittance is enclosed for payment of membership application fee. The undersigned applicant (if an applicant for Regular membership) further expressly agrees to file a complete report of semen production and sales in the format that is uniform for all members, and submit payment of dues to the Association in the amount and at the time which may be specified by the Bylaws of the Association and any amendments thereto.

If the applicant applies for Regular membership, the applicant further agrees to enter into an agreement for Semen Identification and Sire Health Auditing with Certified Semen Services, Inc. (CSS) if so required by the Bylaws of the Association or any amendments thereto.

The undersigned, if an applicant for Regular membership, understands that the undersigned is entitled, while a Regular member in good standing of the National Association of Animal Breeders, Inc., to utilize the Association's logo and to publicize the fact that the undersigned applicant is a Regular member of the National Association of Animal Breeders, Inc. If, however, at any time the undersigned Regular membership is terminated for any reason, the applicant, if a Regular member, agrees to cease and desist from any further use of the logo of the National Association of Animal Breeders, Inc. and to further desist from any use, reference, or claim of membership in the Association from and after the time of final termination.

The undersigned, if an applicant for Associate membership, understands the undersigned is entitled, while an Associate member in good standing of the National Association of Animal Breeders, to utilize the association's logo with the word "Associate" listed there under. The undersigned understands that it is not proper to utilize the NAAB logo without the word "Associate" beneath it. It is further agreed that subsidiaries of NAAB Associate members are not entitled to use the Association's logo. Any subsidiary of an associate member must apply for Associate membership in the same manner as other applicants. The undersigned further agrees that, if at any time, the Associate member of the undersigned is terminated for any reason, the applicant, if an Associate member, agrees to cease and desist from any further use of the logo of the National Association of Animal Breeders, Inc. And, further desists from any use, reference, or claim of membership in the association, or to advertise in any way that such person is still a member of the Association after the time of receipt of notice of final termination.

Applicant agrees to file a completed report of Supplemental Information, a copy of which is attached hereto and incorporated by reference as a part of this application form. The National Association of Animal Breeders, Inc. is hereby authorized to obtain a credit report on the applicant or on the chief executive officer if the applicant is a company.

The undersigned person hereby certifies that he is authorized to execute this application for membership on behalf of the applicant.

Payment Information

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