THLRSC Membership Form

    I hereby apply for membership in the Texas Holland Lop Rabbit Specialty Club. I agree to abide by the Club Constitution and By-Laws and work for the advancement of the Holland Lop rabbit.
Each line of this form needs to be filled out and form mailed with a check or money order
or we will have to return it for completion.  Thanks!

Name(s) -
Adults_________________________________________________________________
Name(s) and Birth Dates –
Youth _________________________________________________________________
Address________________________________________________________________
City, State______________________________________________________________ ZIP_______________
E-mail Address______________________________________  
Phone (________)_______________
ARBA#______________  ARBA Exp. Date _____________
TRBA Member? _____________ HLRSC Member?____________

YES - NO    Include our names, phone number and email address on the THLRSC website membership list.

Effective March 27, 1999, all THLRSC Membership fees are due no later than April 30 of each year.
Please use the following chart for the month in which you join.
                   Each Single           Additional                         
                  Youth/Adult         Youth Each                        
May-July        $8.00              Plus     $4.00                
Aug-Oct          $6.00              Plus     $3.00                
Nov-Jan          $4.00              Plus     $2.00                
Feb-April       $2.00               Plus     $1.00                
                                                                                                                                 1st Year $________
For an additional year’s membership add the 1st year amount to the second amount from below:
$7.00 Per Each Single Member or Adult  Plus $3.00 per each additional youth
   2nd Year  $________
                                                                                                           
TWO YEAR TOTAL  $_______
Please fill out all lines of the form, and mail the form, with your check or money order, to: Secretary/Treasurer LISA HALL   7677 Orchid, San Angelo, TX 76901
Recommended by: __________________________________________________
Form Revised/Effective 4/1/03