OK Hollands Application Blank
Mail Application and Fee to:
OK Hollands, 8603 S 4170 RD, Claremore OK 74017
!/We hereby make application for membership in OK Hollands. And I/we hereby certify to the following: I/we am/are willing to abide by the constitution and by-laws of OK Hollands, and I/we will do my/our part to uphold the club’s image, policies and procedures.
(please print and circle Open or Youth member)
Open/Youth Name:____________________________________ARBA No:__________
(if more space is needed, please indicate here [ ] and continue on back)
Name of Rabbitry _____________________________ Phone (____)______________
Address ______________________________________________________________
City/State ___________________________________________ Zip ______________
Email ___________________________website:______________________________
Would you like to be listed on the OK Hollands on-line members links page? _____
Please check one of the following: New [___] Renewal [___]
[___] Adult, $12.00 [___] 3 year, $30.00
[___] Family, $12.00 [___] 3 year, $30.00
[___] Husband/Wife, $18.00 [___] 3 year, $35.00
[___] Youth, $6.00 [___] 3 year, $15.00
Signature: ____________________________________ Date: __________________
Recommended by: _____________________________
Please print and fill out click here to return to the OK Hollands home page