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NORTHEAST MISSOURI RABBIT BREEDERS ASSOCIATION
KATHY WISEMAN, SECRETARY
RR#1 BOX 166B
KNOXCITY, MO. 63446
(660) 733-5530
E-MAIL: [email protected]
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I HEARBY MAKE APPLICATION FOR THE MEMBERSHIP IN THE NORTHEAST MISSOURI RABBIT BREEDERS ASSOCIATION. I AGREE, IF ACCEPTED, TO PAY MEMBERSHIP DUES FOR ONE YEAR, AND ABIDE BY THE CONSTITUTION AND BY-LAWS OF SAID ASSOCIATION.
DUES:        SINGLE ADULT/YOUTH                                     $10.00 EACH  ____________

                 HUSBAND & WIFE                                              $ 15.00            ____________
 
    FAMILY:  H&W $15.00 + $5.00 FOR EACH YOUTH IN FAMILY  
         _____________     
DUES INCLUDE MEMBERSHIP TO THE MISSOURI RABBIT PRODUCERS ASSOCIATION. MISSOURI MEMBERSHIP WILL ENTITLE YOU TO RECIEVE THE MISSOURI NEWSLETTER, AND MAKE YOU A MISSOURI STATE MEMBER. YOUR NAME WILL BE LISTED WITH YOUR CLUB AFFILIATION.
NAME:___________________________________________
ADDRESS:_______________________________________
CITY__________________STATE________ZIP________
SINGLE ADULT OR HUSBAND & WIFE
ARBA#_____________         ARBA#______________
YOUTH
NAME_________________________ARBA#_________________BIRTHDATE________________
NAME_________________________ARBA#_________________BIRTHDATE________________
NAME_________________________ARBA#_________________BIRTHDATE________________
NAME_________________________ARBA#_________________BIRTHDATE________________
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