Membership Application and Renewal Form

MEMBERSHIP APPLICATION & RENEWAL FORM 2022/2023

RABBIT BREEDERS ASSOCIATION OF TASMANIA INC
Membership to the Rabbit Breeders Association of Tasmania Inc is for the period from 1st July - 30th June each year as per our constitution. New membership applications submitted after the 30th April each year are not required to pay fees again until the following financial year.

Any member whose subscription remains unpaid after 28 days from the end of the financial year shall cease to be a member and must pay a rejoining fee as set down by the committee.

All new applications are subject to approval by the Rabbit Breeders Association of Tasmania Inc Committee of Management.
Primary Applicant Name *

First Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Email *
example@example.com
Phone Number

Area Code Phone Number
Date of Birth *

Day Month Year
Date
Additional Applicant 1

First Name Last Name
Date of Birth

Day Month Year
Date
Additional Applicant 2

First Name Last Name
Date of Birth

Day Month Year
Date
Additional Applicant 3

First Name Last Name
Date of Birth

Day Month Year
Date
Additional Applicant 4

First Name Last Name
Date of Birth

Day Month Year
Date
Additional Applicant 5

First Name Last Name
Date of Birth

Day Month Year
Date
Additional Applicant 6

First Name Last Name
Date of Birth

Day Month Year
Date
I/We authorise the Rabbit Breeders Association of Tasmania to release my contact details to members of the public seeking to purchase a rabbit. *

I/We consent I/We do not consent
I/We authorise the Rabbit Breeders Association of Tasmania to use my photo, including images of myself and/or my rabbit. I authorise the Rabbit Breeders Association of Tasmania to use information related to my experiences with RBAT. I understand that this information, along with any images posted to social media pages operated by the Rabbit Breeders Association of Tasmania, may be used in publications, including electronic publications, social media, promotional material and/or similar ways. *

I/We consent I/We do not consent
I/We consent to receive all correspondence from the Rabbit Breeders Association of Tasmania Inc in an electronic format via the email address provided. I understand that it is my responsibility to ensure I advise the Secretary of any changes to my contact details. *

I/We consent I/We do not consent
Please select all the rabbit breeds you are currently breeding *

Angora – English Angora - German Astrex British Giant Californian Cashmere Lop Chinchilla Chinchilla Giganta Dutch Dwarf Lop English Flemish Giant – UK (BRC) Flemish Giant – US (ARBA) French Lop German Lop Golden Glavcot Harlequin Havana Jersey Wooly Marburger Feh Marten Sable Miniature Astrex Miniature Cashmere Lop Miniature English Angora Miniature Lop Miniature Plush Lop Miniature Rex Miniature Satin Miniature Satin Lop Miniature Satin Rex Netherland Dwarf New Zealand Red New Zealand White Opossum Rex Polish Satin Satin Angora Satin Lop Satin Rex Siamese Sable Silver Fox Smoke Pearl Squirrel Standard Plush Lop Standard Rex Sussex Sussex Marten Swiss Fox Tan Tasman White Thrianta Tri-Colour Dutch Tri-Colour English Not Currently Breeding
I/We wish to apply to be a financial member of the Rabbit Breeders Association of Tasmania Inc. This application is made on the understanding that I hereby become bound by the Articles of Constitution and Rules & Regulations of the Rabbit Breeders Association of Tasmania Inc. I understand that my application is subject to approval by the Committee of Management of the Rabbit Breeders Association of Tasmania Inc and the payment of any membership fees as are set down by the Assocation.
Signature *

Clear
Payment Methods *

Paypal Debit or Credit Card Current Life Member (No Payment Required)
Membership Fees
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Single Member 17 Years and over
$ 35.00 AUD Quantity

Junior Member 4 - 17 Years of age
$ 30.00 AUD Quantity

Concessional Membership Proof of concession required
$ 30.00 AUD Quantity

Family Membership Two Adults and children under 17 years
$ 40.00 AUD Quantity

Life Membership
$ 350.00 AUD Quantity

Once Off Joining/Rejoining Application Fee If you are a new applicant or an applicant whose membership has lapsed, this application fee is required to be applied.
$ 5.00 AUD Quantity
Item subtotal: $ 0.00 AUD

Total

$ 0.00 AUD

Payment Methods

Debit or Credit Card

First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Please click one of the PayPal options to complete payment and submit the form.

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MEMBERSHIP APPLICATION & RENEWAL FORM 2022/2023