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