Membership application





 Name                                                                            Caviary Name                                                      

  Address                                                    City                            State                    Zip                      

  Phone                                            ARBA Membership Number (if you have one)                                     

 Email:                                                      

  Breeds of Cavies Raised                                                                                                                       

  Names of all Family/Partnership Members                                                                                              
  (List birthdate of Youth Members)
                                                                                                                                                          

                                                                                                                                                           


  Organizational affiliation                                                                      



  Dues:  (Circle one)        Annual                  2 Year                3 Year                        

                                                          
 Individual                    $  10.00                $15.00                $20.00                       
                                                              
 Family/Partnership        $15.00                 $20.00                $30.00                      
 Youth                          $  8.00                 $12.00                $18.00                       

 Associate Member        $  9.00                                                       
 Newsletter (only)                                                                        
Webmaster:
Stine Theede

stine_theede@yahoo.com
Pioneer Cavy Fanciers
Mail To:

Dana Kolstad, Treas.
3540 N. Curt Drive
Meridian, ID  83642

208-888-9219

Make check payable to:
Pioneer Cavy Fanciers
APPLICATION FOR MEMBERSHIP
PIONEER CAVY FANCIERS
Please print the application, fill it out, and mail it.
By applying, you indicate that you understand and agree with the constitution and by-laws.

To print, mark/choose the application by left-clicking and dragging the mouse, then left-click File from the menu,
Print, and choose Selection.