Date............................Name.................... .................................. ARBA#:............................ Spouse's name....................................... Spouse's ARBA #.......................... Youth's name.................................... Youth's ARBA #............................. additional youth................................... ARBA #.................... Street address/ P.O. Box number......................... City........................................ State.................... Zip............................................ Age (youth only)................... Phone:(...)........................................Breeds raised:__________________ ________________________________________________________ ______. *********************************************************** *******Annual membership dues: Adult $8.00, Husband/Wife $10.00, Youth $8.00 (alone) or Youth $2.00 with joining adult. ******************************************************************************** You may duplicate this form and mail along with check or money order (made payable to KCRBA) to: Jessica Egan 2317 Sandy Lane Bakersfield, CA 93306
