Membership Application - AMERICAN FUZZY LOP RABBIT CLUB

AMERICAN FUZZY LOP RABBIT CLUB

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Membership Application

In addition to voting rights and qualifying for Sweepstakes awards, all new members (family memberships count as one) get FUZZY TALES, our periodical publication for up to date club information and an AFL Breed Guidebook, full of beautiful color photos, with history, care, standard of perfection and much more.

(Application may be printed to submit with payment to Paula Grady, PO Box 267, Elbert, CO 80106)

After selecting the SUBMIT button at the bottom of this form, you will receive a checkout page, if everything is correctly entered. If you do not receive the checkout page, look for the highlighted area that needs correction.
NOTE: Family Membership is two (2) members at the same address. There is an additional fee for each person over two (2) Members.

* Indicates required field

Name *

First

Last

If this is a Family Membership, Enter both names. For Example: Jon/Jane

Is this an adult member *

Yes No

Additional Family Members *

First

Last

List any additional members below.

Name *

First

Last

Name *

First

Last

Name *

First

Last

Date of Birth (youth only) *

Date of birth is required for youth membership. List first name and then date. Example: Joe - 1/1/00, Jane - 5/31/04

Address *

Line 1

Line 2

City

State

Zip Code

Country

Enter Mailing Address

Email *

Phone Number *

Recommended By: *

On new membership, if a current member recommended you join AFLRC, please provide their name.

Membership Type/Duration (Choose One) *

Single:New 1 Yr ($17) Family:New 1 Yr ($22) Single:New 3 Yrs ($37) Family:New 3 Yr ($54) Single:Re-New 1 Yr ($12) Family:Re-New 1 Yr ($17) Single:Re-New 3 Yrs ($32) Family:Re-New 3 Yr ($48)

Select the type of membership and the duration of the membership application. Single is one person. Family is two people at the the same address.

*** Add $2 for each additional member *

1 Additional Member ($2) 2 Additional Members ($4) 3 Additional Members ($6) 4 Additional Members ($8)

Each Family member at the same address is an additional $2 for both new and re-new membership fees.

Submit

( Once submitted you will be redirected to a check out page and PayPal for payment.)

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AFLRC Club
Membership
Sanctions
Sweepstakes
Current News
Show Results
Resources
Lois Trump Scholarship
- Scholarship Procedures
- Scholarship Application