This on-line application form is only to be used when using PayPal to pay the membership dues. If you want to submit an application and breeder list, use the combined membership app./breeder list form.
Fields with a * are required fields.
Name(s)*: Address 1*: Address 2: City*: State*: Zip*: Country (if not U.S.A): :
Telephone #: E-mail address*:
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)*:
If Family, enter Total # (include all family member names above)
Member*: New Renewal
Newsletters (currently online full color PDF only)
Would you like your AFRMA Show Regulations & Standards Book:*: PDF or Printed book
AFRMA Directory (currently PDF only)
AFRMA Bylaws (comes in PDF format)
Age(s), if under 18:
If under 18, parent name:
What do you have? RATS: Pets Breeding Show/Fancy List Colors/Markings/Coat types if you breed
MICE: Pets Breeding Show/Fancy List Colors/Markings/Coat types if you breed
Do you have lab testing done on your animals*? Y N Diseases tested for and results: (send a copy of your test results to breedlist@afrma.org)
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 print this form to a PDF and save file (OR in Firefox you can right mouse click, "Take Screenshot," save full page, download, save the file), then attach your PDF file (or screenshot file) to an e-mail and send to membership@afrma.org, then send your payment via PayPal.