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APPLICATION FOR MEMBERSHIP

                  
TEXAS MINI LOP RABBIT CLUB


I hereby enclose Club dues of $4.00 for one Adult $7.00 for two Adult Family Members.   Youth Membership $1.00 until 19 Years Old and make application for membership in the TEXAS MINI LOP RBC. I agree to abide by the CONSTITUTION, BYLAWS and RULES of the club.

DATE_____________

NAME______________________________________________ A.R.B.A.#_________    

ADDRESS__________________________________________________

CITY________________________________
STATE ________Zip_______________

PHONE NUMBER _________________
E-Mail Address _________________________      


FAMILY MEMBERS REQUESTING MEMBERSHIP

NAME

__________________________________________ A.R.B.A. #_________

__________________________________________ A.R.B.A. #_________

__________________________________________ A.R.B.A. #_________

__________________________________________ A.R.B.A. #_________

Mail to:
Theresa Farrow
12868 FM 58
Lufkin, TX 75901