HAVANA RABBIT BREEDERS ASSOCIATION

MEMBERSHIP APPLICATION

I hereby make application for membership to the Havana Rabbit Breeders Association, a national specialty club chartered by the American Rabbit Breeders Association, and enclose the appropriate fee.

Circle one:  Adult- 1 Year $8.00             Adult- 3 Year $20.00              Youth- 1 Year $6.00

Youth- 3 Year $14.50             Husband/Wife- 1 Year $11.50                Husband/Wife- 3 Year $29.50

Family- 1 Year $11.50 + 3.50 each Youth

Check one:  New Member__________ Renewal_________

Name:__________________________________________________________________________________________________

Address:________________________________________________________________________________________________

City________________________________________________ST______________Zip_________________________________

Phone Number:_________________________________ E-mail Address:____________________________________________

Rabbitry Name (if applicable) _______________________________________________________________________________

Recommended by:________________________________________________________________________________________

Please check an answer:  I would like to have my information included in the Havana Rabbit Breeders Association’s Breeder Directory to be distributed to people interested in purchasing Havana rabbits: Yes_____   No_____

Advertising option: I would like to place an ad in the Havana News.  Full page $65 _____, ½ page $40 _____,

 ¼ page $30 _____, Business card $10 _____

Copy is enclosed: _________ Copy will be mailed to: Suzanne Hemsath <havanasecretary@yahoo.com>, ________

Send Application to:

Suzanne Hemsath, HRBA

7677 W Jefferson Rd
Magna, UT 84044