Join the SAHLC

 State of Arizona Holland Lop Club
Membership Application

I hereby apply for membership in the State of Arizona Holland Lop Club. By enclosing my membership dues, I agree to abide by the constitution and bylaws of the SAHLC and to prove and promote the Holland Lop rabbit. 

Name (s)_________________________________ ARBA #_______________

              _________________________________ ARBA #_______________

 Youth__________________________ Age______ ARBA #_______________ 

          __________________________ Age______ ARBA #_______________

          __________________________ Age______ ARBA #_______________

          __________________________ Age______ ARBA #_______________

Address_________________________________________________________

Email_____________________________ Phone________________________

Membership Fees: Circle One

Individual   New: $6    Renew: $4
Husband/Wife   New: $8    Renew: $6
Family   New: $10    Renew: $8
Youth   New: $3    Renew: $2

Amount enclosed $______________    Check #______________
Please make checks payable to SAHLC

Referred by:_____________________________________________________ 

Fill out application completely and submit with fee to: 
Rachel Roehe
2420 N. Reed Road
Chino Valley, AZ 86323