Futurity Breeders’ Association

Membership Application

Name____________________________________________________________________________________

Address__________________________________________________________________________________

Telephone #______________________________________________________________________________

Membership dues are $10.00 per person a year.

This is a [  ] new membership; [  ] renewal membership.

Please complete and return with dues to:          Elane Berry, Secretary-Treasurer

                                                                                    Futurity Breeders’ Association

                                                                                    PO Box 181

                                                                                    Roland, AR  72135

For information regarding the FBA, call Gerald Campbell, President (205) 566-6091 or Elane Berry, Secretary-Treasurer (501) 868-5844 or (501) 680-3424.