Logo

Membership Application

Please Print, Complete, and Mail to:

Gay Sparks, Secretary-Treasurer
1051 CR 491
DeLeon, TX 76444



NAME(S)_____________________________________________ARBA #(S)________________

BIRTHDATE (IF YOUTH) _______/______/_______

RABBITRY NAME & URL________________________________________________________

ADDRESS______________________________________________________________________

CITY___________________________________________STATE___________ZIP___________

E-MAIL ADDRESS________________________________________________________________

PHONE NUMBER_________________________________________________________________

 

    Husband/Wife – 1 Yr. $10.00  ---  3 Yrs. $25.00            

                   Individual Adult – 1 Yr. $6.00 --- 3 Yrs. $15.00                              

                Individual Youth – 1 Yr. $5.00 --- 3 Yrs. $12.00                          

Family Youth (Youth with either an Individual Adult or H/W membership) – $1.00 each Youth per Year

FIRST YEAR MEMBERSHIP__________    RENEWAL MEMBERSHIP__________

MEMBERSHIP TYPE:  ADULT_______ H/W_______YOUTH______FAMILY_______

CHECK HERE IF THIS IS A FOREIGN MEMBERSHIP______

                                                                               TOTAL FEES ENCLOSED________________

 

IF THIS IS A FAMILY MEMBERSHIP, PLEASE, LIST ALL ADDITIONAL NAMES

TO BE INCLUDE.  ARBA NUMBER(S) IF A MEMBER OF THAT ORGANIZATION,

AND BE CERTAIN TO LIST ALL YOUTH BIRTH DATES.

 

1.)______________________________________________________________________________

2.)______________________________________________________________________________

3.)______________________________________________________________________________

4.)______________________________________________________________________________

5.)______________________________________________________________________________

6.)______________________________________________________________________________

 

DID SOMEONE RECOMMEND US?________________________________________________

MINI REX VARIETIES YOU RAISE_________________________________________________


Please use your browser's BACK button to return to the page you were viewing


Copyright 2014 TMRRC,  All Rights Reserved