RCNZ Membership Application

RCNZ Membership Application

Please fill out the form below to apply for membership.
Full Name*

First NameLast Name
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.
Residential Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Date of Birth*

MonthDayYear
Date
To register your stud name, please provide us with three choices. The RCNZ will need to confirm it is available to use.*
Please confirm what breeds of rabbits you keep/breed?*
Please confirm which Membership + joining fee of $10.00 you are applying for*
Please make payment to Rabbit Council of New Zealand Inc. Internet Banking: 02 0223 0086155 00 Please be sure to include your name as reference*
Once approved, new members agree to abide by the RCNZ Constitution and Show Rules, which will be provided upon confirmation of membership.*

Yes, I agreeNo, I will not
Please confirm if you would like to be on the RCNZ Show schedule mailing list.*

YesNo
Signature Required*

Clear
Date

MonthDayYear
Date
Should be Empty: