Membership and Renewal Application

Note: Membership will not take effect until fees are received.
Applicant Information
Last Name:
First Name Adult (1):
First Name Adult (2):
Youth Name (1):
Youth DOB (1):
Youth Name (2):
Youth DOB (2):
Youth Name (3):
Youth DOB (3):
Youth Name (4):
Youth DOB (4):
Address:
City:
State:
Zip Code:
Phone No.:
E-Mail:
Referred By:
ONE TIME CAVIARY NAME REGISTRATION (As long as your membership remains current): Pay a fee of $5.00 for your Caviary name to be "officially" listed in the Sweepstakes and Yearbook. The name must be less than 30 letters, spaces, and punctuation.
Caviary Name:
Second Choice:
Other Comments (e.g. additional Youth Names):
Choose Membership Level
First Year Adult $25/year First Year Adult $ 60/3years
First Year Family $30/year First Year Family $75/3 years
First Year Youth $20/year First Year Youth $45/3 years
Renewal Adult $ 20/year Renewal Adult $ 55/3years
Renewal Family $25/year Renewal Family $70/3 years
Renewal Youth $ 15/year Renewal Youth $40/3 years
Subscription to JACBA only - $ 20/year
Canadian Members - Please add and additional $ 10/year; $ 30/3 years
Other Foreign Members - Please add an additional $30/year
One-time Caviary Fee - Please add an additional $5
Payment of membership dues includes a subscription to JACBA (Journal of the American Cavy Breeders Association) and enrollment in the ACBA Sweepstakes Contest.
PAYMENT METHOD
PayPal: acbasec@yahoo.com Put Membership in the subject line.
Check/Money Order (Payable to ACBA) Reed Tibbetts, ACBA Secretary
470 San Remo Dr., Princeton, TX 75407
NOTE: PayPal is the preferred method. You may have a delay in your membership.