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    New Members F​orm and Updating Information

    PLEASE complete the form below and Send in your Form "Button" proceed to the Web Store and click on "Choose Membership and Check Out".

For Mailing, the application can be printed by using your mouse right click "Save As" and then print.  

Mailed along with your membership dues to

    the American Phoenix Breeders Association 3309 NW 40th Loop, Jennings, Fl. 32053 THANK YOU  

The Members First and Last Names*

Members Address *


State *

Postal Code *

Phone Number

Email Address *

First and Last Names of Youth Member or youth in a Family Membership who wish to participate for Youth Exhibitors Pins and Showmanship Pins.

Do you want to join our Members ONLY Facebook group?

What variety of Phoenix do you raise?


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