American Fancy Rat and Mouse Association
Application for Registered Rattery/Mousery
This application is required along with payment.

This on-line application form is only to be used when using PayPal to pay the Registered Rattery/Mousery fee

Do not press the ENTER or RETURN key!

Fields with a * are required fields.

Date (mm/dd/yyyy)*:

Name of Rattery/Mousery*: Initials (4 max)*:
Name of Owner(s)*:
City*:   State*:   Zip*:
E-mail address*:
Web Site:
Telephone #*:

$5 to become an Official Registered Rattery/Mousery (includes certificate)

Application*:  New   Renewal

List colors/markings/coat types bred by you*:

List Goals as a Breeder [send photos of animals ( and/or web site link]*:

List clubs associated with and involvement*:

List rats/mice that have breeder status and critique dates*:

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,
then send your payment via PayPal.

Updated May 1, 2014