AFRMA Pet Rat and Mouse Registry HTML Form

AFRMA now has a Pet Rat and Mouse Registry! Get your special pets (past or present) registered. You will receive a beautiful certificate suitable for framing. You will get your registered pets listed in Rat & Mouse Tales and in the AFRMA Directory. The price is only $2 per animal for members, $3 each non-members. (Note: This is only for pets, this is not a breeding registry.)

NAME____________________________________________________ DATE________________

ADDRESS______________________________________________________________________

CITY_____________________________________________STATE____ZIP+4______________

PHONE (     )___________________________________ MEMBER?  Y     N

E-MAIL_______________________________________________________________________

+-----+-------------------------------------------------------------+----------+
|RAT/ |                         NAME                                |  PRICE   |
|MOUSE|                                                             |  $2/$3   |
+-----+-------------------------------------------------------------+----------+
|     |                                                             |          |
+-----+-------------------------------------------------------------+----------+
|     |                                                             |          |
+-----+-------------------------------------------------------------+----------+
|     |                                                             |          |
+-----+-------------------------------------------------------------+----------+
|     |                                                             |          |
+-----+-------------------------------------------------------------+----------+
|     |                                                             |          |
+-----+-------------------------------------------------------------+----------+
|     |                                                             |          |
+-----+-------------------------------------------------------------+----------+
|     |                                                             |          |
+-----+-------------------------------------------------------------+----------+
|     |                                                             |          |
+-----+-------------------------------------------------------------+----------+
|     |                                                             |          |
+-----+-------------------------------------------------------------+----------+
|     |                                                             |          |
+-----+-------------------------------------------------------------+----------+
Make Money order or Cashier's +------------------------+  SUBTOTAL: |          |
Check payable to: AFRMA       |   Postage/Handling     |            +----------+
(No personal checks)          |  U.S. Mail 1st Class   |   POSTAGE: |          |
and send to:                  |1-6   Certificates: 2.25|            +----------+
                              |7-11  Certificates: 2.50|     TOTAL: |          |
 AFRMA                        |12-15 Certificates: 2.75|            +----------+
 9230 64th Street             +------------------------+
 Riverside, CA 92509-5924

Back to Pet Registry
Back to Home Page

Updated September 27, 2016