Renewal - Family (up to 4 members), 1 year

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Renewal - Family (up to 4 members), 1 year

Renewal - Family (up to 4 members), 1 year

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$12.00

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Membership renewal for 1 year for up to 4 family members residing at the same address. Additional family members are a separate charge for $2.00 each. Please list date of birth for youth.

Date *

Member Name *

Spouse/Partner Name

Other Adult in Household

2nd Other Adult in Household

Youth Name & Date of Birth *

2nd Youth Name & Date of Birth

3rd Youth Name & Date of Birth

4th Youth Name & Date of Birth

Farm or Rabbitry Name

Street Address *

City * Maximum of 30 characters

State * Maximum of 2 characters

Zip Code * Maximum of 5 characters

Phone Number *

Email Address *

Website

Referred By

Other Breeds You Raise (doesn't have to be just rabbits)

Membership Card Preference Select all that apply Paper card sent via Postal Mail Printable PDF Card sent via Email No Card Required

How would you like to vote on the annual ballot? Select all that apply E-voting via email link Paper ballots sent via postal mail

Do you consent to us (AHRC) using your submitted pictures, publicly posted photos or photos of you taken at AHRC/ARBA events for use in the club Newsletter, social media accounts or other print media? Select all that apply Yes No

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