Application Blank


Vancouver Island Rabbit Breeders Association
Mail Application and Fee to: Judy Currie, 1430 Courtland Avenue, Victoria, B.C., V9E-2C5


I enclose $ _______ and make application for membership in the Vancouver Island Rabbit Breeders Association,
and agree that if I am accepted to abide by the Constitution, By-laws, and Rules of the Club.


Name (please print) _______________________________________________

Name of Rabbitry _____________________________ Phone ________________

Address ____________________________________________________________

City/Province_________________________________________ Postal Code ______________

Email _________________________Recommended by ______________________


                                                       Please check one of the following: New [   ] Renewal [   ]

[   ] Single - $15/yr.

[   ] Couple - $25/yr.

[   ] Youth - $10/yr.


                                                          Prices are for memberships within Canada.

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