Membership Application

Please print this form out, fill in your information and mail it to the address below.

 

 

Date:______________________________________________________

Name:_____________________________________________________

Address:___________________________________________________

City/State/Zip:______________________________________________

Phone:_____________________________________________________

ARBA#:____________________________________________________

Name/DOB of Youth:__________________________________________

Amount Enclosed:_____________________________________________

Email Address:_______________________________________________

Web Site:__________________________________________________

Signature:__________________________________________________

 

 

Signing this application gives permission to add your information to our website
Membership year runs from January 1 to January 1 of next year.
You can join anytime throughout the year.

Club dues
$7.00 (single adult/youth)
$4.00 (each add'l member at the same address)

Make checks payable to the Ohio Mini Lop Rabbit Club and mail to.

Hazel Everetts
5214 Hahn Ave.
Fairborn
, Oh. 45324