Membership Application
Please Print, Complete, and Mail to:
Mallary Goldman, TMRRC Secretary-Treasurer
3320 Lake Trail Drive
Lancaster, TX 75146
NAME(S)_____________________________________________ARBA
#(S)________________
BIRTHDATE (IF YOUTH)
_______/______/_______
RABBITRY
NAME & URL________________________________________________________
ADDRESS______________________________________________________________________
CITY___________________________________________STATE___________ZIP___________
E-MAIL
ADDRESS________________________________________________________________
PHONE
NUMBER_________________________________________________________________
Husband/Wife – 1 Yr. $10.00 --- 3 Yrs. $25.00
Individual Youth – 1 Yr.
$5.00 --- 3 Yrs. $12.00
Family Youth (Youth with either an Individual Adult or H/W
membership) – $1.00 each Youth per Year
FIRST YEAR MEMBERSHIP__________ RENEWAL MEMBERSHIP__________
MEMBERSHIP TYPE:
ADULT_______ H/W_______YOUTH______FAMILY_______
CHECK HERE IF THIS IS A FOREIGN MEMBERSHIP______
TOTAL FEES ENCLOSED________________
IF THIS IS A FAMILY
MEMBERSHIP, PLEASE, LIST ALL ADDITIONAL NAMES
TO BE INCLUDE. ARBA NUMBER(S) IF A MEMBER OF THAT ORGANIZATION,
AND BE CERTAIN TO
LIST ALL YOUTH BIRTH DATES.
1.)______________________________________________________________________________
2.)______________________________________________________________________________
3.)______________________________________________________________________________
4.)______________________________________________________________________________
5.)______________________________________________________________________________
6.)______________________________________________________________________________
DID SOMEONE RECOMMEND
US?________________________________________________
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