Ohio State New Zealand RBA

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Membership Application
Ohio State New Zealand Rabbit Breeders Association
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MEMBERSHIP APPLICATION
OHIO STATE NEW ZEALAND RABBIT BREEDERS ASSOCIATION
Dues:

Single - $8 yearly
Married Couple - $10 yearly
Family - $12 yearly     

Newsletter (check one)         
___ by email, no charge
___ by US mail, include additional $10 yearly
                             
 Make checks payable to: OSNZRBA

Name_______________________ Circle: Adult/Youth   Youth Date of Birth ___________ARBA # ________________
Name_______________________ Circle: Adult/Youth   Youth Date of Birth ___________ARBA # ________________
Name_______________________ Circle: Adult/Youth   Youth Date of Birth ___________ARBA # ________________
Name_______________________ Circle: Adult/Youth   Youth Date of Birth ___________ARBA # ________________
Name_______________________ Circle: Adult/Youth   Youth Date of Birth ___________ARBA # ________________

 
Amount Paid: ______________________ Date: ___________________________   Cash/Check#______________
Contact Information:

First Name ____________________________________ Last Name ______________________________________
Address:        __________________________________________________________________________________
                        __________________________________________________________________________________
Phone Number: _______________________________________________
Email: ________________________________________________________________________________________
Mail Form and Dues to:        Amanda Hutcheson         Questions:  osnzrba@gmail.com or (330) 283-0709
                                                278 Poplar Street
                                                Pataskala, OH 43062
 
---------------------------------------------------------------------------------------------------------------------------------------------------
 
Dues Receipt
 
First Name ___________________________________ Last Name _______________________________
 
Amount Paid: __________________________       Date: ______________________________
 
 
Club Secretary Signature: ________________________________________________________________

Click Here to Print
membership_application_update_2021.docx.pdf