NERS: Membership application

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Promoting excellence in the care and breeding of fancy rats

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NERS Membership - online application form

Full name:
Address:


Postcode:
Telephone:
Email address:
If you are applying for family memberhip, please state the additional names (and DOB for any juniors):
Your rat-related website address (if applicable):
Your rattery name (if applicable):
Are you interested in:
- Rats as pets?	Yes No
- Showing rats?	Yes No
- Breeding rats?	Yes No
Would you like to join our online members' forum?	Yes No
If yes, which username will you use:
Please confirm type of membership required:	If you are applying for family membership, please list all interested family members above. The £2 additional fee for all new members is applied to cover the joining pack and does not need to be added for membership renewals.
PayPal payment made:	Yes No
Please record amount of payment sent via PayPal:
Please use this space for any other notes that will help us process your application for NERS membership: