This online application form is only to be used when using PayPal to pay for the Membership dues/Breeder’s Listing
Fields with a * are required fields.
Country (if not U.S.A): :
Include Telephone # on Breeder listing? Y N
Include E-mail on Breeder listing?* Y N
Rattery/Mousery Name (include prefix initials–up to 4 characters):
Web Site Address:
Annual Membership Type (Individual or Family in same household; all amounts in U.S. Dollars) (includes Breeder’s Listing fee)*:
If Family, enter Total #
(include all family member names above)
Would you like your newsletters*: Online (full color PDF) or Mailed (B/W version)
Would you like your AFRMA Show Regulations & Standards Book:*: PDF or Printed book
Would you like your AFRMA Directory:*: PDF or Printed book
Would you like your AFRMA Bylaws:*: PDF or Printed
If under 18, parent name:
What do you breed?
RATS: Pets Breeding Show/Fancy
MICE: Pets Breeding Show/Fancy
Long Hair Satin
Do you Ship*? Y N
Do you have lab testing done on your animals*? Y N
Diseases tested for and results:
(send a copy of your test results [PDF, JPG, TIF] to firstname.lastname@example.org)
Additional Breeder Listing Comments:
You may include a photo with your ad. Send digital photo (JPG, GIF, PNG, or TIF only) to:
May we refer people to you*? Y N
Do you plan on participating in So. California Shows*? Y N
How did you hear about AFRMA?
Additional Comments (optional):
In making this application for membership to the American Fancy Rat and
Mouse Association, I/we agree to, if accepted into membership by the Board of
Directors, abide by and be bound by the rules set by the Association.
In lieu of a signature, the submission of this form and payment of annual dues is an agreement to the terms of membership.
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 “Buy 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.
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Unauthorized copying of any part constitutes a breach of copyright law.