Application

NATIONAL COLORBRED ASSOCIATION

National Colorbred Association

Application For Membership

(Please PRINT PAGE and then fill in)

MAIL TO: HENRY VELA, 109 NEECE DRIVE, IRVING, TX 75060

Check One: [ ] New Member [ ] Renewal [ ] Club Affiliation*

($25.00 Single $30.00 Dual)

(Please print or type) Date___________________

Name___________________________________________________

Address_________________________________________________

City/State/Zip_____________________________________________

Phone:(_______)______________________

Email______________________________@____________________

List the Cage Bird Clubs in your area in which you are most active (if any):

________________________________________________________

Please List the Colors/Mutations you breed:

________________________________________________________

________________________________________________________

Questions or Comments?____________________________________

Club Affiliation (Includes Rosettes for Show) $75.00 for 2 Divisions;

$100 for 3 Divisions (Includes "New Color") + $9.00 for shipping!

Please enter Club Information as Name & Address above.

25 bands @ .40 cents each $10.00 50 bands @ .40 cents each $20.00 75 bands @ .40 cents each $30.00 100 bands @ .40 cents each $40.00 125 bands @ .40 cents each $50.00 150 bands @ .40 cents each $60.00 175 bands @ .40 cents each $70.00 200 bands @ .40 cents each $80.00 **Please note that with every order your send us there will be @2.50 added for postage