Click to download the Application as a PDF

Print, fill out and mail with payment* to the Secretary Treasurer:
Margo Purdy
228 Packs Rd., Glenville, NC  28736

Name:_____________________________________   Date:___________________



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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