Sunflower Lionhead Rabbit Club (SLRC)
Membership Application
Annual Dues:
|
Single Adult |
$7 (one year) |
$18 (3 years) |
|
Two or more persons at one address |
$12 (one year) |
$30 (3 years) |
(All fees due in U.S. dollars)
Please send a check payable to the Sunflower Lionhead Rabbit Club to: Gale Schultz, 911 7th Corso, Nebraska City, NE 68410
Adult(s):
Name(s):
____________________________________________________________________
Address: ____________________________________________________________________
City, State, ZIP:
_______________________________________________________________
Phone: ______________________________ Email:
_________________________________
Rabbitry Name: _______________________________________________________________
Website address: ______________________________________________________________
Youth (under 18):
Name: ___________________________________
Birthdate: __________________________
Name: ___________________________________ Birthdate: __________________________
Name: ___________________________________ Birthdate: __________________________
Name: ___________________________________ Birthdate: __________________________
Name: ___________________________________ Birthdate: __________________________
COLORS YOU CURRENTLY ARE BREEDING or HAVE AVAILABLE:__________________________________________________________________