The Californian Rabbit Specialty Club

Membership Application Blank (Print and mail with check or money order)

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.