Renewal - Single Youth, 3 years

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Renewal - Single Youth, 3 years

Renewal - Single Youth, 3 years

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$12.00

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Membership renewal for 3 years for youth. Must be under 18 years old for all 3 years. Please include date of birth.

Date *

Member Name *

Date of Birth *

Parent or Guardian *

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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