This online application form is only to be used when using PayPal to pay for the Membership dues/Breeder’s Listing
Fields with a * are required fields.
Name(s)*: Address 1*: Address 2: City*: State*: Zip*: Country (if not U.S.A): :
Telephone #: Include Telephone # on Breeder listing? Y N
E-mail address*: Include E-mail on Breeder listing?* Y N
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) (includes Breeder’s Listing fee)*:
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 breed?
RATS: Pets Breeding Show/Fancy Varieties: Standard Rex Tailless Hairless Satin Dumbo Bristle Coat Other Varieties Sections: Self English Irish Irish Down Under Berkshire Essex Variegated Blaze Dalmatian Hooded Bareback Capped Masked Odd-Eye Other Markings Colors
MICE: Pets Breeding Show/Fancy Pure English English/American American Varieties: Standard Satin Long Hair Long Hair Satin Frizzie Frizzie Satin Hairless Frizzled Other Varieties Sections: Self Tan Fox Banded Broken Marked Broken Merle Dutch Even Marked Hereford Rump White Spotted Tan Variegated Other Markings Colors
Do you Ship*? Y N Conditions:
Do you have lab testing done on your animals*? Y N Diseases tested for and results: (send a copy of your test results [PDF, JPG, TIF] to breedlist@afrma.org)
Additional Breeder Listing Comments:
You may include a photo with your ad. Send digital photo (JPG, GIF, PNG, or TIF only) 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.