NAME(S): _________________________________________________

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ADDRESS: __________________________________________________________

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TELEPHONE: ________________________________________________________

EMAIL: ____________________________________________________

WEBSITE ADDRESS _____________________________________________

BREEDS or Varieties Raised:__________________________________________

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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