
NAME(S): _________________________________________________
_________________________________________________
_________________________________________________
ADDRESS: __________________________________________________________
________________________________________________
TELEPHONE: ________________________________________________________
EMAIL: ____________________________________________________
WEBSITE ADDRESS _____________________________________________
BREEDS or Varieties Raised:__________________________________________
_____________________________________________________________________
WOULD YOU LIKE TO BE LISTED IN THE ONLINE DIRECTORY? ___YES ____NO
INDIVIDUAL - $7.50 FAMILY - $10.00
Please print and fill out:
Mail to:
Harry Majors
HPFA Membership
3389 Mitchell Hts. Drive
Eureka, CA 95503