Rosecomb Bantam Federation
Membership Form 

Dues: $10.00 per year junior, $12 per year individual, $15 per year family. Dues are good for one year from the time of application. Lifetime membership is $150. Check or Money Order payable to the Rosecomb Bantam Federation.

Print out this form and mail it, along with dues, to:
Rosecomb Bantam Federation
c/o Steve Beaty, Secretary
P.O. Box 126
Portales, NM 88130

Please place an X next to anything that you WANT to have listed on the on-line member directory.

Name:

Address:

 

Phone Number:

Email address:

Home page: http://

What varieties of Rosecombs do you raise? (Please check all that apply to you).

Barred	Birchen	Black	Black Breasted Red
Black Tailed Red	Blue	Blue Red	Brown Red
Buff	Buff Columbian	Columbian	Crele
Exchequer	Ginger Red	Golden Duckwing	Lemon Blue
Mille Fleur	Mottled	Porcelain	Quail
Red	Red Pyle	Silver Duckwing	Splash
Wheaten	White	(other?)	(other?)

Who referred you to the Federation?

 

Thank you for supporting the Beautiful Little Aristocrat!!!