Northern Lites Rabbit Breeders
Association
Application for Membership
Date:_____________________
Type of Membership
(circle one): Single Couple Family
Name:
________________________________________Age: ______________
Phone #: ____________________ Email_______________________________
ARBA #:
__________________________
Address:
_________________________________________________________
City: ญ____________________________State:
ญญญญญ________ Zip Code: ___________
Rabbitry Name:
___________________________________________________
Additional Names (family/couple
membership)
Name:
________________________________________Age:_______________
ARBA #:
___________________________
Name:
________________________________________Age:_______________
ARBA
#:___________________________
Name:
________________________________________Age:_______________
ARBA
#:___________________________
Breeds Raised:
_____________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
Club Affiliations:
____________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
Can your information be
given out to people looking for rabbits for: Pet:
_____ yes ______no
Show:_____yes_____no
Meat:
_____yes _____no
Dues:
Single - $10.00 Couple - $12.00 Family-
$15.00
Upon application of this
club you will receive membership card(s), a copy of the constitutions and
by-laws and monthly newsletters. You agree to abide by the constitution and
by-laws of this club and to further promote and develop the rabbit industry. Please mail completed applications with your dues to Secretary Tammy Cook at 578 Fulton Road Lisbon, NY 13658.