MICHIGAN DUTCH RABBIT CLUB

MEMBERSHIP APPLICATON

DATE_____________________ ARBA #__________________

____NEW ____RENEWAL

____OPEN ____YOUTH

NAME_______________________________________________________

ADDRESS____________________________________________________

CITY, STATE, ZIP_____________________________________________

PHONE______________________________________________________

E-MAIL______________________________________________________

 

Individual - $4.00 per year

2nd Family Member - $3.00 per year

Family - (3 or more) - $10.00 per year

MAIL TO:

Carlene Bell
4786 Allen Rd
Webberville MI 48892