| Northwest Holland Lop Rabbit Club Membership Application Name(s): ___________________________________________________ Mailing Address: _____________________________________________ City, State & Zip: ____________________________________________ Phone Number: _____________________________________________ Email: _____________________________________________________ New Member: ____ Renewal: ____ Adult: ____ Youth: ____ ARBA Numbers: ____________________________________________ Youth Member Birthdate: ___________________________________ Rabbitry Name: _____________________________________________ Website URL: ______________________________________________ Dues: $7.00/Single Adult per year $12.00/Family per year $4.00/Youth per year Please make check payable to the: NWHLRC Mail to the Secretary:: Zina Helmandollar 18115 NE 205th Circle Battle Ground, WA 98604 |