Click to download the Application as a PDF MEMBERSHIP APPLICATIONPrint, fill out and mail with payment* to the Secretary Treasurer: Margo Purdy 228 Packs Rd., Glenville, NC 28736
Name:_____________________________________ Date:___________________
Address:____________________________________________________________________________
E-mail:_______________________________________________Phone:_________________________
Other names if family membership:_________________________________________________________
Caviary :_________________________________________URL:________________________________
Breeds raised:_________________________________________________________________________
___________________________________________________________________________________
Do you wish to participate in e-mail meetings? Yes No
*One Year membership: Adult _______$10 Family _______$15 Youth (under 18) _________$5 Check should be payable to "NCCBA" or by paypal (minimun for paypal - $10; contact sec. for paypal address)
Watch for your Yearbook in the mail as a signal that your application has been received.
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