If you would like to join JBOA by mail, please print this application, fill out and mail to address below with the appropriate dues payment.
JAVA BREEDERS OF AMERICA - YEARLY MEMBERSHIP DUES: Juniors (17 years and under): $5.00; Individuals: $10.00; Families: $15.00; Foreign Members (anyone living outside the USA): $20.00 (US funds!) Benefits: Quarterly Club Newsletters, Annual Breeders Directory, and access to the website's member area which includes: access to classifieds, member forum, member directory, immediate access to quarterly newsletters, and email updates Date:__________________________
Jav
ders
Name:____________________________________________________
re aB e
Address:___________________________City:___________________
1883
of A m eric a
State:_________________ Zip code______________-_________ COUNTRY________________________ Phone:(___ ) ___________ E-Mail Address:___________________Web Site URL: ____________________ Membership Type (Circle one): JUNIOR______INDIVIDUAL _______FAMILY _______FOREIGN______ Check One: NEW MEMBER_____________ RENEWAL_________________ For website access of ‘Member’s Area’: Desired USERNAME:_____________ PASSWORD: ______________ Receive Quarterly newsletter by: MAIL ________________E-Mail__________________ Note: Please only request mail version of newsletter if you do not have an email address. Types of Javas that you raise: Mottled:___(YES)___(NO) Black:___(YES)___(NO) White:___(YES)___(NO)Auburn:____(YES)____(NO) Do you offer your Javas for sale? What colors?___________________________________________________ Do you sell chicks?_____________Do you sell eggs?_______________Do you sell adult birds?___________ Other Breeds and varieties of fowl that you raise:________________________________________________ _______________________________________________________________________________________ How long have you raised Javas? ____________________________________________________________ Do you show Javas?____________________________________________________________________ What is your main reason for keeping Javas? (Attractive egg layers, Preserve the breed, backyard pets.....) _______________________________________________________________________________________ Mail the completed form with appropriate dues payment to: Java Breeders of America Ruth Caron - Secretary/Treasurer 195 Northglen Lane Martindale, Texas, 78655, United States