Emerald Empire Rabbit Breeders Association .

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Membership Application.

Just print out this page , fill in the blanks and mail with your payment.You too can be part of the E.E.R.B.A. fun !!!

NAME _______________________________________________________
RABBITRY NAME _____________________________________________
ADDRESS ___________________________________________________
CITY________________________________________________________
STATE _______________ ZIP ___________________________________
PHONE _______________ OK to LIST ? YES _______ NO ____________
ARBA MEMBERSHIP NUMBER _________________________________
REFERRED BY : EERBA WEBSITE
BREEDS YOU RAISE __________________________________________
____________________________________________________________
ARE YOU A NEW MEMBER ?________ RENEWAL MEMBER ? ________
TYPE OF MEMBERSHIP
INDIVIDUAL __________________ ($7)
DUAL _______________________ ($10)Two members , family or business.
YOUTH ______________________ ($4) Under 18 years of age.


Please make checks payable to : E.E.R.B.A.
Mail To :
Emerald Empire Rabbit Breeders Association
Membership Secretary
38722 Place Road
Fall Creek
Oregon 97438