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Member Sign Up
Fields marked with an asterisk (*) are required.
* Farm Name
* First Name
* Last Name
* Address 1
Address 2
* City
* State
* Zip
* Phone 1
Phone 2
Fax
Email
* Please describe your farm and cattle
* Directions to your farm
If you have a web site, enter the address here:
* User Name
* Password (At least 6 characters)
* Choose a security question (to which only you will know the answer)
* Answer (not case sensitive)
Do not show my information in the online members directory Check for YES
 
Would you like to share some photos of your farm and cattle? If so, click the button next to the request for photos below and select a photograph from your hard drive or camera. You can upload up to six photos which will appear with your membership listing on the KHA web site.
Photo 1
(.jpg or .gif file only)
Photo Caption 1
Photo Description 1
Photo 2
(.jpg or .gif file only)
Photo Caption 2
Photo Description 2
Photo 3
(.jpg or .gif file only)
Photo Caption 3
Photo Description 3
Photo 4
(.jpg or .gif file only)
Photo Caption 4
Photo Description 4
Photo 5
(.jpg or .gif file only)
Photo Caption 5
Photo Description 5
Photo 6
(.jpg or .gif file only)
Photo Caption 6
Photo Description 6
 
Type the characters shown in the picture below:
Picture
* Type characters
 
 
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