Certified Breeder Membership Form

Animal Research Foundation

(Non-Domestic U.S)
C/O 11182 Highway 34 South
Quinlan, Texas TPZ 75474
Telephone: 903-356-2267 Fax: 903-356-3078
stodghills.arf@juno.com

APPLICATION FOR ARF CERTIFIED BREEDER MEMBERSHIP

AIMS OF OUR ARF CERTIFIED BREEDERS

To assist in organizing Play Days, Trials, and Shows. To help in the selection of impartial Judges. To help maximize the quality of animals produced. To help in establishing a uniform breed standard, when none exists. To help in the establishment of a rescue service for abused, abandoned, or unwanted animals. To help promote the screening of all prospective buyers. To help promote "ARF's Code of Ethics" for all ARF Breeders, and for those who purchase ARF Certified Pedigreed animals. To help put an end to "Puppy Mills", and other inhumane abuse of animals. To help inspect any animal facility, when called upon, prior to an individual Obtaining an ARF Certified Breeder Membership.

FOUR TYPES OF ARF CERTIFIED BREEDER MEMBERSHIPS
(Please indicate the membership you want.)

_______ Supporting Membership, $100.00, a onetime donation     _______ Associate Membership, $250.00, a onetime donation

_______ Executive Membership, $500.00, a onetime donation      _______ Lifetime Membership, $1000.00, a onetime donation

SUPPORTING MEMBERSHIP DUES & BENEFITS
$20.00 yearly dues          Breeder listings on all specific breed ARF mail & fax requests
Discounts on Books & Videos

ASSOCIATE MEMBERSHIP DUES & BENEFITS
$50.00 yearly dues          Breeder listing on all specific breed ARF mail & fax request
Discounts on Books & Videos          Breeder listing on ARF's Website

EXECUTIVE MEMBERSHIP DUES & BENEFITS
$50.00 yearly dues          Breeder listing on all specific breed ARF mail & fax request
Discounts on Books & Videos
Breeder listing on ARF's Website          Display Advertisement on ARF's Website

LIFETIME MEMBERSHIP BENEFITS
No dues          Breeder listing on all specific breed ARF mail & fax request
Discounts on Books & Videos
Breeder listing on ARF's Website          Display Advertisement on ARF's Website

INFORMATION ON THE APPLICANT

Name: ________________________________________________________________________________

Address: ______________________________________________________________________________

Phone: ___________________________________ E-Mail: _________________________

Fax:_____________________________________ Website: ________________________

I am applying to become an ARF Certified Breeder of: __________________________________________

I have been breeding the above animals for ___________ months/years.

I am of lawful age: I have a minimum of three years' experience in [Please check at least one item.]...

___ _Animal husbandry, or                                                   ____ Working for a veterinarian, or
____ Working for the Humane Society/SPCA, or                 ____ Working for a Municipal Animal Control, or
____ Working for a Municipal Zoo, or                                  ____Other (Explain) ________________

I have...

____A degree in Biology, and/or Animal Science, or         ____A certificate from Future Farmers of American (FFA), or
____A certificate from 4-H, for raising an animal, or         ____Other (Explain) _______________________________

Please describe your work experience, and verify by attaching an affidavit, copy of your degree, or certificate of your participation.

                                                                            MY CURRENT FACILITIES

I own/lease a Ranch/Farm/Kennel; describe:__________________________________________________

The name of my Ranch/Farm/Kennel/ is:____________________________________________________

Would you be agreeable to have an ARF Representative check your facility over?     Yes_____   No______

                                                COPY OF RANCH/FARM/KENNEL REGISTRATION REQUIRED

Please provide us a certified copy, from the Country, or Country, where your Ranch/Farm/Kennel is registered. Also, please provide us a photo of your facility, it's location, and describe your current operation.

Without prejudice, U.C.C. 1-207

___________________________________________________        _________________________
Signature                                                                                                              Date

Encls:     Affidavit of working experience or degree/certificate
               Certified copy of Registered Ranch/Farm/Kennel name
               Photo(s) of Ranch/Farm/Kennel
               * Membership Donation

NOTICE
Please allow 30 days to approve your application. In the event that your application is rejected, all you documents and Membership gift will be returned to you.
Once approved, all documents will remain on file in the Member's name.
* Please enclose a U.S. Postal Money Order, reflecting your choice of membership.

____________________________                         ________________________________
Approved by                                                              Rejected by

__________________________________             ______________________________________
Date of Approval                                                       Date of Rejection

                                                                                   ______________________________________
CBMA 8/00                                                                Reason for Rejection