NABSSAR Membership Form

North American Babydoll Southdown Sheep Association & Registry (NABSSAR)
c/o Jeff Ebert, 10015 Flush Rd, Saint George, KS 66535-9741

All items are REQUIRED unless noted otherwise.
Membership Form
Our website has detailed information regarding our memberships at this link Membership Information.

Member 1

	Response
1. New Member (Y or N)
1. Renewal (Y or N) If paying for the year after 01/31, you will owe a late of $25.00 IF this is a renewal.
1. Adult, Junior, Lifetime Adult Single, Lifetime Adult Dual. If a junior membership include Birth Date MM/YYYY.
1. Membership Number (if known)
1. First, Middle (optional), Surname
1. Mailing Address
1. City AND State/Province AND Zip/Postal Code
1. Phone
1. E-mail Address (used by us to contact you)
1. Flock/Farm/Ranch Name A one-time only fee of $10.00. Required for new member applications.
1. Personal Website URL (optional), $10.00/$150.00
1. Your assigned Scrapie Flock Number

Member 2

	Response
2. New Member (Y or N)
2. Renewal (Y or N). If paying for the year after 01/31, you will owe a late of $25.00 IF this is a renewal.
2. Adult, Junior, Lifetime Adult Single, Lifetime Adult Dual. If a junior membership include Birth Date MM/YYYY.
2. Membership Number (if known)
2. First, Middle (optional), Surname
2. Mailing Address
2. City AND State/Province AND Zip/Postal Code
2. Phone
2. E-mail Address (used by us to contact you)
2. Flock/Farm/Ranch Name A one-time only fee of $10.00. Required for new member applications.
2. Personal Website URL (optional), $10.00/$150.00
2. Your assigned Scrapie Flock Number

Member 3

	Response
3. New Member (Y or N)
3. Renewal (Y or N). If paying for the year after 01/31, you will owe a late of $25.00 IF this is a renewal.
3. Adult, Junior, Lifetime Adult Single, Lifetime Adult Dual. If a junior membership include Birth Date MM/YYYY.
3. Membership Number (if known)
3. First, Middle (optional), Surname
3. Mailing Address
3. City AND State/Province AND Zip/Postal Code
3. Phone
3. E-mail Address (used by us to contact you)
3. Flock/Farm/Ranch Name A one-time only fee of $10.00. Required for new member applications.
3. Personal Website URL (optional), $10.00/$150.00
3. Your assigned Scrapie Flock Number

Member 4

	Response
4. New Member (Y or N)
4. Renewal (Y or N). If paying for the year after 01/31, you will owe a late of $25.00 IF this is a renewal.
4. Adult, Junior, Lifetime Adult Single, Lifetime Adult Dual. If a junior membership include Birth Date MM/YYYY.
4. Membership Number (if known)
4. First, Middle (optional), Surname
4. Mailing Address
4. City AND State/Province AND Zip/Postal Code
4. Phone
4. E-mail Address (used by us to contact you)
4. Flock/Farm/Ranch Name A one-time only fee of $10.00. Required for new member applications.
4. Personal Website URL (optional), $10.00/$150.00
4. Your assigned Scrapie Flock Number

Sign
I agree to the following:

As a member, I will abide by the Code of Ethics of the NABSSAR.

I have read and understand the NABSSAR breed standard.

All of the information submitted is true and accurate.

I will not hold liable the North American Babydoll Southdown Sheep Association & Registry (NABSSAR) for its acceptance or failure to accept any and all sheep being submitted for registration and/or transfer.
Type a question*

Yes, I/we agree to the statements above. Your typed name(s) will be considered to be an electronic signature. Please include the names of all members listed on the Membership Form if becoming a new member OR all names on the membership account if already a member.
Type Your Name(s)*

Membership Form