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ACBA Membership Form
Note: Membership will not take effect until fees are received.
Payment of membership dues includes a subscription to JACBA (Journal of the American Cavy Breeders Association) and enrollment in the ACBA Sweepstakes Contest.
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* Indicates required question
Last Name
*
Your answer
First Name Adult (1)
Your answer
First Name Adult (2)
Your answer
List all included Youth names and dates of birth
Your answer
Email
*
Your answer
Phone
*
Your answer
Address: Street
*
Your answer
Address: City
*
Your answer
Address: State
*
Your answer
Address: Zip code
*
Your answer
Address: Country (if not US)
Your answer
State of Residence
*
Your answer
Referred By
Your answer
Membership Level
*
Choose
New Adult, 1 year - $25
New Family, 1 year - $30
New Youth, 1 year - $20
New Adult, 3 years - $60
New Family, 3 years - $75
New Youth, 3 years - $45
Renewal Adult, 1 year - $20
Renewal Family, 1 year - $25
Renewal Youth, 1 year - $15
Renewal Adult, 3 years - $55
Renewal Family, 3 years - $70
Renewal Youth, 3 years - $40
Subscription to JACBA only, 1 year - $20
Additional
Canadian Members - Please add and additional $ 10/year; $ 30/3 years
Other Foreign Members - Please add an additional $30/year
Payment Method
*
PayPal:
payments@acbaonline.com
; Put "Membership" in the subject line.
Check/Money Order (Payable to ACBA); Mail to Kim Davis, ACBA Treasurer
For Check or Money Order
Mail to: Kim Davis, ACBA Treasurer, 3392 Old Mulkey Rd, Tompkinsville, KY 42167.
NOTE: Paypal is the preferred method. You may have a delay in your membership otherwise.
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