Membership Form DRAFT

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ACBA Online

American Cavy Breeders Association

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ACBA Membership and Renewal Application

Last Name

First Name (Adult 1)

First Name (Adult 2)

Youth Name 1

Youth DOB 1

Youth Name 2

Youth DOB 2

Address

Phone

Referred By

Choose Membership Level *

First Year Adult $25/year

First Year Adult $60/3 years

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 $55/3 years

Renewal Family $25/year

Renewal Family $70/3 years

Renewal Youth $15/year

Renewal Youth $40/3 years

Subscription to JACBA Only $20/year

Other Membership Items

Canadian Members - please add additional $10/year; $30/3 years

Other Foreign Members - please add an additional $30/year

One-time Caviary Fee - Please add an additional $5

Other Comments (e.g. additional youth names)

Payment of membership dues includes a subscription to JACBA (Journal of the American Cavy Breeders Association) and enrollment in the ACBA Sweepstakes Contest.

Select a Payment Option *

PayPal: acbasec@yahoo.com

Check/Money Order (Payable to ACBA)

PayPal Instructions:

Put "Sanction Request" in the subject line. Request is not considered received until fees are received. Please use Friends & Family option if possible.

Check/Money Order Instructions:
Reed Tibbetts, ACBA Secretary
470 San Remo Dr., Princeton, TX 75407
NOTE: PayPal is the preferred method. There may be a delay in processing your sanction.

Please check for errors above and retry.

Your content has been submitted

Caviary Name (First Choice)

Caviary Name (Second Choice)

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