Membership Application

 

Please fill out this form if you are paying dues by credit card.  If you wish to pay by check, please 
click here.

If you are currently a member of NIAA and are renewing your membership, please click here.  If you are a new member, please fill out the Membership Application below.

Please provide the following information for member contact:

 

Name: 
(please indicate Dr., Mr. Ms.)
Organization:
Address:
Address:
City:
State:
Postal Code:
Country:
Phone:
Fax:
E-mail:
Web Address:
Check here if NIAA may create a link to this Web site

Please check the appropriate membership type:

National Associations and Commercial Organizations: $1,000 
 Membership for organizations and corporations that operate at a national or international level, as well as federal agencies (such as USDA's APHIS and FSIS, FDA and DHS).  Multiple organization contacts permitted within this membership, full voting privileges. 


State-Level Associations & Publicly Supported Institutions/Agencies: $500
Membership for state government agencies, diagnostic laboratories, university-affiliated groups or associations that operate at a state level, and also federal agencies at regional locations.  Multiple organization contacts permitted, full voting privileges.


Individuals (Self-Employed): $250
Membership for self-employed or small entities, such as producers, practitioners, retirees or others that do not fit a state or national level membership.  Single organization contact, full voting privileges.


Affiliate Members (Non-Voting): $100
Membership for associations, corporations or individuals that support the mission of NIAA.  No voting privileges.

Please provide the following:  Full Membership (non-affiliate) entitles individuals to serve on committees.  Please choose from the following committees.  Provide the name of interested individual in the box.

Animal Care
Animal Health Emergency Management 
Animal Health and International Trade 
Animal Identification and Information Systems
Animal Production and Food Safety & Security 
Cattle Health 
Emerging Diseases 
Equine Health 
Sheep & Goat Health 
Swine Health 
Poultry Health 
Equine ID Subcommittee 
 

Comments: 

Membership in the NIAA is open to all persons and entities, subject to review and approval by the NIAA Board of Directors.  Membership in the NIAA is not based on race, color, national origin, age, disability, sex, religion or political beliefs.  The NIAA provides a forum for open discussion on differing viewpoints affecting agriculture. However, NIAA's Board of Directors reserves the right to deny an application for membership when, in its sole discretion, it determines that an applicant's membership will be unduly disruptive or contrary to the mission and goals of the NIAA.

Please submit the information.  After submitting the information, you will be given an opportunity to review the information provided and make necessary changes.  Then, you will be forwarded on the secure payment section.