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Land of Lincoln Satin
Rabbit Breeders Association |
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Application for Membership |
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Membership Fees: |
1 Year |
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3 Years |
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Adult |
$8.00 |
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$15.00 |
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Husband & Wife |
$12.00 |
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$20.00 |
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Youth |
$3.00 |
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$6.00 |
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Youth Free with Paid Adult
Membership |
All memberships expire on December 31st
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LoL Patches |
$5.00 |
Quantity __________ |
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If Youth, Date of Birth |
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| Name
___________________________________ARBA # ______________ |
________________ |
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| Name
___________________________________ARBA # ______________ |
________________ |
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| Name
___________________________________ARBA # ______________ |
________________ |
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| Name
___________________________________ARBA # ______________ |
________________ |
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| Name
___________________________________ARBA # ______________ |
________________ |
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| Address
____________________________________________________ |
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| City ________________ |
State ________ |
Zip Code _______________ |
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| Phone ( ) ______________ |
Email ____________________________________ |
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| Would you like a free breeder
listing on the Land of Lincoln website?
_____________ |
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| Varieties Raised
_______________________________________________________________________ |
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| Mini Satin
Varieties Raised
______________________________________________________________ |
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| Date of Application
______________________ |
Recommended By: ____________________________________ |
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I hereby make application for membership in the Land of Lincoln
Satin Rabbit Breeders Association. |
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I agree to abide by its
Constitution and By-Laws. |
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| Signed:
__________________________________________________________ |
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Total Amount Enclosed: ______________________ |
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2007
Officers |
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President: Ron VanDeWalle |
Vice-President: Kris Kellor |
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Secretary: Jackie Marshall |
Treasurer: Gary Mohr |
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| Directors: Mandy
Peterson, Mat Teubert, Larry Bachman,
Tricia Lambert, Ben Reynolds |
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Mail Completed Form with Dues to: |
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Jackie Marshall |
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1711 E. 300 North Rd. |
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Cissna Park, IL 60924 |
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