Membership Application
Form Araucana Club of America (___) New
Member (___) Renewal
Date of Application___________________ Information on this application will be used for the Membership List: Name: ______________________________________________________________________________ Farm or Business Name: ______________________________________________________________ Address: ____________________________________________________________________________ City:____________________________ State:_____________ Country:__________ Zip:_______-____ Phone: (_____)______________________ c Do not use my phone number in the Membership List!E-mail: ____________________________ c Do not use my e-mail address in the Membership List!Website: _________________________________ c Do not use my website in the Membership List!Do you have: c Bantam c Large fowlIn which color varieties: ABA Colors: c Black c Black Breasted Red c Blue c Buff c Silver c WhiteAPA Colors: c Black c Black Breasted Red c Golden Duckwing c Silver Duckwing c WhiteList Any Non-Standard Varieties: ____________________________________________________ How many Araucanas do you have? Low: ______ High: ______ Do you sell: c Hatching eggs c Day old chicks c Started stock - Do you ship: c Yes c No If National Poultry Improvement Plan (NPIP) approved: NPIP# ____________________________ What other breeds do you raise: ____________________________________________________ Send ___ copies of Cathy Brunson’s book: “Araucanas Rings On
Their Ears !”
|
||