Fund Raiser Order Form

(print this out and send it to the address below)

Note: This form is for US orders only. For international orders, please contact us by email for more information.

Name: ___________________________________________________________

Address: ____________________________________ Apt # ________________

City: _____________________________________________________________

State/Province: ________________________ Zip Code: ___________________

Email/Phone # (in case of questions on your order)_________________________
(We won't share this info with anyone!)

All prices include shipping!

ITEM

QTY

PRICE

TOTAL

Make Mine Chocolate Pin

______

@ $6.00 each =

______

ITEM

QTY

PRICE

TOTAL

Rabbit Health in the 21st Century

______

@ $20.00 each =

______

ITEM

QTY

PRICE

TOTAL

King Murray's Royal Tail

______

@ $10.00 each =

______

ITEM

QTY

PRICE

TOTAL

Bun in the Box

______

@ $11.00 each =

______

ITEM

SIZE

PRICE

TOTAL

Pet Rabbit SweatShirts

______

@ $22.00 each =

______

Grand Total

______

House Rabbit Network Membership Application

Your tax deductible donation will be used for medical costs (spays/neuters, vet bills) and educational expenses. With your yearly membership you will receive copies of our newsletter, Rabbit Tracks, when they are published. Currently there are three issues per year. Our memberships run from April 1 until March 31st. If you join in January-March we will credit you for the next year.

Choose your membership level:
[ ] Netherland Dwarf $15
[ ] Mini Lop $25
[ ] New Zealand $50
[ ] Flemish Giant $100
[ ] Mix breed (other) $_______
In the future we plan on creating a PDF version of our newsletter.
I would like to receive my newsletters in:
[ ] PDF format via my email account
[ ] Hard copy via the USPS

Please send check or money order (no cash, please) to:

House Rabbit Network
P.O. Box 2602
Woburn, MA 01888

Make checks payable to House Rabbit Network.

The bunnies thank you for your order!!

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