| MIDWEST VELVETEEN LOP BREEDERS MEMBERSHIP APPLICATION |
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| PLEASE PRINT! |
| Name: ______________________________________________ Address: ____________________________________________ City: _________________________State:______Zip:_________ Rabbitry Name: _______________________________________ Phone: _____________________Email: ____________________ Website: _____________________________________________ [ ] If youth, birthday: ___________________________________ |
| I herby understand and willingly apply for membership to the Midwest Velveteen Lop Breeders Association in order to support and promote the breeding of Velveteen Lop rabbits. I understand at this time, the Velveteen Lop breed is currently an unrecognized breed with the American Rabbit Breeders Association and thus at this time, the Midwest Velveteen Lop Breeders Association is not an affiliated club with the ARBA. I acknowledge that my membership dues will be put toward the establishment of the MVLBA and promotion of the breed in anticipation of future acceptance for sanctioned showing of the Velveteen Lop. Any shows sponsored currently by the MVLBA are conducted in a non sanctioned format and are strictly for the fun and promotion of the breed at this time. |
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Signature: _________________________________________Date:________________ |
| Mail your application and Fees to: Midwest Velveteen Lop Breeders c/o Danielle Stenli 10770 E Flagg Road Rochelle, IL 61068 |
| Membership Includes: Membership Card Breeder Listing on website In future: MVLBA Newsletter |
| Midwest states consist of Iowa - Illinois - Indiana - Kansas - Michigan - Minnesota - Missouri - Ohio - Nebraska - North Dakota - South Dakota - Wisconsin |
| NEW Circle One: Adult - 1 yr $10 Household - 1 yr $15 Youth - 1 yr $5 (youth 18 & under) |
| All Velveteen Lop Supportors welcome! Concentration of planned shows to be held/sponsored in the Midwest states. |
| [ ] I wish NOT to have any of my contact information listed on the website [ ] I wish NOT to have my phone number listed on the website |
| NEW Circle One: Adult - 3 yr $25 Household - 3 yr $40 Youth - 3 yr $10 (youth 18 & under) |