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House Rabbit Society Membership Application

This form is for printing out and sending through the postal mail, faxing to 510-970-9820, or emailing a pdf to membership. (All of these options are good for our international members.)
PDF Version

You can also join online or make a donation online instead.

Membership Type

[ ] United States $18.00/year
[ ] International/Canada $25.00/year

Additional Donation

[ ] Amount $__________
Total Enclosed $__________

Payment Method

[ ] Personal Check (in US dollars)
[ ] International Money Order (in US dollars)
[ ] Credit Card (Visa or MasterCard)
Card Number:
Expiry Date:

Member Information

Name:
Member ID (if renewing):
Address:
City / State / ZIP:
Email address:

Mail completed form to:

House Rabbit Society148 BroadwayRichmond, CA 94804

You can also fax this form at 510-970-9820

Your check is your receipt. All donations are tax-deductible.

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