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| AMERICAN DWARF HOTOT RABBIT CLUB MEMBERSHIP APPLICATION |
| Names (list all family members names and youth birthdays): _________________________________ __________________________________________________________________________________ Street Address: ____________________________________________________________________ City, State & Zip: ___________________________________________________________________ Phone #: _________________________________________________________________________ ARBA #'s: ________________________________________________________________________ Email address: _____________________________________________________________________ Referred by: Stephanie Nock "Stephanie's Teacup Dwarfs" |
| MEMBERSHIP DUES PAYABLE TO: ADHRC Individual: $10.00 Husband/Wife: $15.00 Youth: $7.00 Family: $15.00 & $2.00 per youth under 18 Send to: Sharon Toon (Secretary/Treasurer) 4061 Tremont Ave. Egg Harbor Township, NJ 08234-8839 email SToon81611@aol.com |
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| Updated 1-20-2002 |