You will receive four great newsletters with upcoming events and show results. we will add you to our show entry mailing list so you will know when our shows are.

Your name, caviary name and email address will automatically be added to the membership page of the CCCBA website. http://cccba.tripod.com  unless you indicate otherwise on this application.

 

Name:________________________________________________________

Adress:_______________________________________________________

City:___________________State:_______________ Zip:_______________

Phone:(     )__________________

Email Address:_________________________________________________

 

Website Address:______________________________________________

 

Caviary Name:_________________________________________________

 

Breed:___________________________      Varities______________________

Breed:___________________________  Varities_____________________

Breed:___________________________  Varities_____________________

Breed:___________________________   Varities_____________________

 

Would you interested in serving on the Board or a Committee?

_____________

 

 

___$12 Adult 1yr. Membership                   ___$30 Adult 3yr.membership

 

___$8  Youth 1yr. membership                  ____$20 Youth 3yr. Membership

 

___$16  Family 1yr. membership              ____$40 Family 3yr.Membership

 

Signture:___________________________________ Date:__/__/__

 

To join complete and sign a copy of this application, send it along with your check made payable to Cheryl Renolds and mail to:

 

Cheryl Reynolds

3400 Catalina Rd

Lompoc, CA    93436

She is our Treasurer.