American Fancy Rat and Mouse Association
CURRENT MEMBERS BREEDER’S LIST FORM
(Membership in AFRMA is required to be listed.)

New Members please use the combined Membership/Breeder’s form

Payment is required with this application.


This on-line application form is only to be used when using PayPal to pay for the Breeder’s Listing

Do not press the ENTER or RETURN key!

 

Fields with a * are required fields.

Date (mm/dd/yyyy)*:

Name(s)*:
City*:   State*:

Telephone #:    Include Telephone # on listing? Y    N

E-mail address*:    Include E-mail on listing?* Y    N

Rattery/Mousery Name (include prefix initials–up to 4 characters):
Web Site Address:

I Breed:
RATS: American   English  
Standard   Rex   Tailless   Hairless   Satin   Dumbo   Other
Markings
Colors

MICE: English   English/American   American  
Standard   Satin   Long Hair   Long Hair Satin   Frizzie   Frizzie Satin   Hairless  
Other
Markings
Colors

Do you Ship? Y    N Conditions:

Additional Comments:

You may include a photo with your ad. Send digital photo (JPG, GIF, PNG, or TIF only) to: breedlist@afrma.org


Before sending this form, you should print it for your records.
After you press SEND, you should get a screen thanking you for sending your application
and a “Pay Now” button to pay via PayPal.


If you do not get the “Thank You” screen, then your e-mail didn’t go through and you will need
to copy this page and paste into a regular e-mail and send it to breedlist@afrma.org,
then send your payment via PayPal.

December 5, 2011

© 1995–2012 American Fancy Rat and Mouse Association.
All text, artwork, and photos are copyright to AFRMA, and/or the author, artist, or photographer.
Unauthorized copying of any part constitutes a breach of copyright law.