| Mid-Atlantic Dwarf Hotot Club Membership Form |
| Please note that you must be a resident of the Mid-Atlantic states to apply for membership: Delaware, Maryland, New Jersey, New York, North Carolina, South Carolina, Pennsylvania, Virginia, West Virginia, Washington D.C. |
| Name: _______________________________________________________________________________ Address: _____________________________________________________________________________ City: ________________________________ State: _________________ Zip Code:_______________ Phone Number: ______________________________________________ Email: ______________________________________________________ ARBA # ____________________________________________________ ADHRC # __________________________________________________ Additional Family members (Include ARBA & ADHRC membership numbers as well as youth birthdays) __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ Check One: Single ($5) __________ Husband/Wife: ($7.50) __________ Family: ($10) _____________ Please add $1.00 to membership fee if not an ARBA member. Mail to: Sally Turner (secretary) 201 Port Lane Philipsburg, PA 16866 rabbit_ranchers@yahoo.com |
