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The Californian Rabbit Specialty Club |
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Membership Application Blank (Print and mail with check or money order) |
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| Secretary Office: 1156 Elm Grove Spur, Belton, TX 76513 | |||
| I enclosed $______ and make application for membership to the CRSC and agree to abide by the constitution & Bylaws and the rules of the club. I also promise to further the interest of the CRSC whenever possible. | |||
| NAME:_______________________________________________________________________________ | |||
| ______________________________________________________________________________________________ | |||
| ADDRESS: __________________________________________________________________________ | |||
| City: _____________________ | State: ___________________ | ZIP:__________________ | |
| RABBITRY NAME:__________________________ | RECOMMENDED BY:__________________________ | ||
| PHONE: ( _____ ) ____________ -_______________ | E-MAIL: ______________________________________ | ||
| Please circle one | |||
| NEW | RENEWAL | CANADIAN | FOREIGN |
| DUES OPTIONS: | |||
| Adult 1 year $10.00 ________ | Husband / Wife 1 year $15.00 _______ | ||
| Adult 3 years $28.00 _______ | Husband / Wife 3 year $43.00 _______ | ||
| Single Youth 1 year $5.00 _______ Youth Date of Birth _________ List additional youth w/birth dates | |||
| _________________________________________________________________________________________________ | |||
| Note: Additional youth in same family add $2.00 for each you in the family membership cost. Canadian add $5.00 per year to cost of membership. All foreign add $5.00 per year to cost of membership. | |||