Name: _______________________________________________________________

Caviary Name: _______________________________________________________

Address: ______________________________________________________________

City: _______________________________________ State: ______ Zip: __________

Phone: (_______) ______________________ Fax: (______) ___________________

Email: ________________________________________________________________

Website: http://________________________________________________________

_____ Unless indicated here, your Caviary name, Member name, Email, Website & Breeds will be listed on the WCF
Membership Directory on our website at: http://www.oocities.org/wacafa.  If you wish something omitted or
added, but otherwise agree to be listed, please indicate those changes on the back of this form.
 

Breeds:	Check All That Apply	List Varieties	List Colors
___Abyssinian	V/C:	___Silkie	V/C:
___Aby Satin	V/C:	___Silkie Satin	V/C:
___American	V/C:	___Teddy	V/C:
___American Satin	V/C:	___Teddy Satin	V/C:
___Coronet	V/C:	___Texel	V/C:
___Peruvian	V/C:	___White Crested	V/C:
___Peruvian Satin	V/C:	___Other (specify):	V/C:

Check the Membership Type Chosen

_____Single Membership	$12 per year, $1 per month* *(if joining after Jan 31st of the given year)
_____Family Membership	$18 per year, $1.50 per month* *(if joining after Jan. 31st of the given year)

Signature: _________________________________________ Date: ____/____/____

Send your completed application with payment payble to WA Cavy
Fanciers to: WCF Secretary/Treasurer: Sheryl Newland
2429 159th Avenue SE, Bellevue, WA 98008