Please complete this form (indicating payment method below):

Membership will not take effect until fees are received.

Personal Information
Last Name:
First Name Adult (1):
First Name Adult (2):
Youth Name (1):
Date of Birth (Y1):
Youth Name (2):
Date of Birth (Y2):
Address:
City:
State:
Zip Code:
Phone No.:
E-Mail:
Referred By:
ONE TIME CAVIARY REGISTRATION (As long as your membership remains current): Pay a fee of $5.00 for your Caviary name to be "officially" listed in the Sweepstakes and Yearbook, The name must be less than 30 letters, spaces, and punctuation.
Caviary Name:
Second Choice:

Other Comments (e.g. extra Youth Names):

Membership
First Year Adult $ 25/year	First Year Adult $ 60/3years
First Year Family $ 30/year	First Year Family $75/3 years
First Year Youth $ 20/year	First Year Youth $45/3 years
Renewal Adult $ 20/year	Renewal Adult $ 55/3years
Renewal Family $ 25/year	Renewal Family $70/3 years
Renewal Youth $ 15/year	Renewal Youth $40/3 years
Canadian Members - Please add and additional $ 5/year; $ 15/3 years
Other Foreign Members - Please add an additional $20/year
Subscription to JACBA only - $ 20/year
Payment of membership dues includes a subscription to JACBA (Journal of the American Cavy Breeders Association)

	AMERICAN CAVY BREEDERS ASSOCIATION - NOTICE OF INTENTION
The ACBA Sweepstakes program is open to all ACBA members in good standing. They may elect to enroll in the program upon joining the ACBA and upon membership renewal. Enrollment in the program will last for the valid dates of membership. Upon renewal, a member must reaffirm his or her interest in participation. In order to ensure participation in the full season, a participant's membership must be active on July 1st and remain active throughout the season. No points will be accrued during a lapse of membership. An active member who wishes to participate mid-membership must do so in writing to the ACBA secretary or submit an early membership renewal form. The same applies to a current participant wishing to add or remove breeds during the season. You may use the form below to change your current breed choices or begin participating mid-membership. To check if your NOI has been received, please click here: NOI List Submit a separate form for each exhibitor or one form for exhibitors showing together. Exhibitor's Name: Open Youth (Choose ONLY one.) You must be a Member of ACBA at the time of the show to receive points Indicate which breeds you will be showing.  You may indicate more than one Breed, and may change during the Sweepstakes Year (see notes above). Abyssinian Coronet Teddy Abyssinian Satin Peruvian Teddy Satin American Peruvian Satin Texel American Satin Silkie White Crested Silkie Satin
Payment Method
	PayPal: ACBAsec-treas@nghs.net	put "Membership" in the subject line
	Check/Money Order (Payable to ACBA)	c/o James D.Nielsen, 1157 E. San Angelo Ave., Gilbert, AZ 85234