Click to download the Application as a PDF
MEMBERSHIP APPLICATION

Print, 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"



Watch for your Yearbook in the mail as a signal that your application has been received.


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