| WSRBA MEMBERSHIP APPLICATION |
| I hereby make application for membership in the Wisconsin State Rabbit Breeders Association, Inc. and agree to abide by its constitution and bylaws. |
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| NEW |
| RENEW |
| ( ) 1 Year Adult Membership $10.00 ( ) 1 Year Household Membership (2 Adults) $12.00 plus $2.00 per Child ( ) 1 Year Youth Membership $7.00 NAME: _______________________________________ ADDRESS: ____________________________________ ____________________________________ Birthdates of Youth Members: Name of Youth: _____________________ Birthdate: ____/____/____ Name of Youth: _____________________ Birthdate: ____/____/____ Name of Youth: _____________________ Birthdate: ____/____/____ Please print this form out and sent it to: Melody Stremkowski 5568 Cty Rd EE Amherst, WI 54406 |
