RMCA Southern California
MEMBERSHIP APPLICATION
Does not include Rat & Mouse Gazette
Please print this form and mail it along with payment to:
RMCA
P.O.Box 4190
Costa Mesa, CA 92628
Name(s):______________________________________________________________________ Address:______________________________________________________________________ City, State, Zip, Country:____________________________________________________ Telephone no. and/or email address:___________________________________________ This is a: New Membership____ Renewal____ Type of membership: Domestic -- 1 year $15____ Canadian -- 1 year US$15____ Overseas -- 1 year US$20____ Gift Membership (Write message here): ______________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Type of pets you have: Rats____ Mice____ Other____ Are you a breeder? Yes____ No____ Breeders, please list the Colors/Markings/Coat types you breed: May we refer other Rat/Mouse owners in your area to you? Yes____ No____ Do you plan to attend Southern California shows? Yes____ No____ Signature_______________________________________ Date____________________ If under 18: Age(s)___________ Parent/Guardian Signature__________________________
NOTE: Make your check/money order payable to "RMCA". Overseas members have been mailing cash to make it less expensive for them. Payment must be in US dollars! If you have any questions, please contact us here.