Havana Rabbit Breeders Association
Membership Application
Havana Rabbit Breeders Association

I hereby make application to the Havana Rabbit Breeders Association, a national specialty club
chartered by the American Rabbit Breeders Association, and enclose the appropriate fee.

Circle one:  Adult- 1 Year $8.00        Adult- 3 Year $20.00         Youth- 1 Year $6.00

Youth- 3 Year $14.50        Husband/Wife- 1 Year $11.50        Husband/Wife- 3 Year $29.50

Family- 1 Year $11.50 + 3.50 each Youth

Check one:  New Member__________ Renewal_________

Name:_________________________________________________________________

Address:________________________________________________________________

City: ____________________________________ST:______ Zip:___________________

Phone #:__________________________________

E-mail Address:___________________________________________________________

Rabbitry name (if applicable):________________________________________________

Reccomended By:_________________________________________________________

Please check an answer: I would like my information included in the Havana Rabbit Breeders Association
Breeder Directory to be distributed to people interested in purchasing Havana rabbits:
Yes:__________    No: _____________

Advertising option: I would like to place an ad in the Havana News.  

Full Page $65_______, 1/2 Page$40_______, 1/4 Page $30_______, or Business Card $10_______

Copy is: Enclosed_______ or Copy will be mailed to havanasecretary@yahoo,com_________


Please send application to:

Suzanne Hemsath, HRBA
7677 W Jefferson Rd
Magna, UT 84044