Family MembershipFamily MembershipFamily Membership$25.00One year family membership to the SCNA. Please list all household members to be covered.Select Your Payment Cycle25.00 USD as One Time payment for 1 year(s)Family Membership Information * Username * First Name * Last Name * Email Address * PasswordStrength: Very Weak * Address * City* State/ProvinceStateAKALARAZCACOCTDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPARISCSDTNTXUTVAVTWAWIWVWYABBCMBNBNLNSONPEQCSK * State/Province * Zipcode* Country/RegionCountry/RegionAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongoCosta RicaCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceFrench GuianaFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayNorthern Mariana IslandsOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbia and MontenegroSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe * Country/Region* DistrictSelect DistrictDistrict 1 ME, NH, VT, MA, RI, NY, NJ, CTDistrict 2 PA, MD, DC, DE, VA, WVDistrict 3 AL, FL, GA, KY, NC, SC, TN, PRDistrict 4 IN, IL, MI, MN, OH, WIDistrict 5 AR, LA, MS, OK, TXDistrict 6 IA, KS, MO, NEDistrict 7 CO, MT, ND, SD, UT, WYDistrict 8 AK, WA, OR, IDDistrict 9 AZ, CA, NM, NV, HI * District Phone * Additional Family MembersIn order for family members to get show points, you must have their name listed here or else we wont be able to reference their membership * Referred By? Put none of no one or show name if at a show. referral Website Farm Name BiographyProfile PhotoDone(Use Cropper to set image and <br/>use mouse scroller for zoom image.)Done(Use Cropper to set image and use mouse scroller for zoom image.)Drop file here or click to select. Select Your Payment GatewayPaypalCredit Card via StripeCard Holder NameCard Holder NameCredit Card NumberCredit Card Number Expiration MonthExpiration MonthExpiration YearExpiration YearCVV CodeCVV CodeHow you want to pay?Auto Renewal Debit PaymentManual PaymentPayment SummaryYour currently selected plan : , Plan Amount : , Final Payable Amount: Submit
