WORLD RABBIT SCIENCE ASSOCIATION

American Branch                  

                             MEMBERSHIP APPLICATION FORM

                                                           Date______________________

Please print this page and complete this form (please type or print clearly):

Name___________________________________________________________

Mailing Address____________________________________________________  

_________________________________________________________________  

_________________________________________________________________  

_________________________________________________________________

 Telephone__________________________

 FAX______________________________

 e-mail_____________________________

 Annual Dues                                                      US$ 10.00

 WRS Subscription   ($50)                                         $_______

  Postage (US and Canada $8, elsewhere $12)           $_______

  TOTAL  ENCLOSED                                         US$_______         

All payments must be in US dollars.  Make checks payable to "AB-WRSA"  and mail to:

Dr. J. I. McNitt, Secretary/Treasurer

Box 11170

Southern University

Baton Rouge, LA, 70813

USA  

If you have any questions regarding the application please contact Dr. McNitt (e-mail: james_mcnitt@suagcenter.com).

(the website of  AB-WRSA was originally created by S. Lukefahr and is maintained by MA Grobner)