Membership Applications – Northwest Fancy Mouse Association

After filling out and submitting the proper form below, please navigate to the store and pay for your membership.

Family Membership
$30 per year
Includes all members in a household.

Regular Membership
$20 per year
For members 18 years old and older.

Junior Membership
$10 per year
For members younger than 18 years old.
Applications for Junior Membership must be signed by a parent or guardian.

Family Membership Application

Name *

First

Last

Please list all family members. *

People listed here will become members of NWFMA, so please only list the names of those who would like to become members. Membership is limited to people who live in your household, and to their household dependents. Dependents must live in your household at the time this application is submitted (i.e. a child who moves away for college can be included).

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Email *

Mousery Name

Please add the name of your mousery, and include prefix initials (up to 4 characters).
Leave blank if you don't have one.

Website

Please add the URL of your mousery. Leave blank if you don't have one.

What do you have?

Pets
Breeding
Show/Fancy

Would you like your information to be listed in the Breeders section? *

Listings on the Northwest Fancy Mouse Association website are for breeder members, and are optional.

Please describe the color(s) and variety (coat style) of the mice you have.

Do you have lab testing done on your animals?

Diseases tested for and results:

Please upload or email a .pdf file of your test results to info@northwestfancymouseassociation.org

Test Results

Click or drag a file to this area to upload.

Agreement

In making this application for membership to the Northwest Fancy 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.

Signature

(Please use your initials as digital signature. Must be 18 years or older)

Captcha *

Website

Regular Membership Application

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Email *

Mousery Name

Please add the name of your mousery, and include prefix initials (up to 4 characters).
Leave blank if you don't have one.

Website

Please add the URL of your mousery. Leave blank if you don't have one.

What do you have?

Pets
Breeding
Show/Fancy

Would you like your information to be listed in the Breeders section? *

Listings on the Northwest Fancy Mouse Association website are for breeder members, and are optional.

Please describe the color(s) and variety (coat style) of the mice you have.

Do you have lab testing done on your animals?

Diseases tested for and results:

Please upload or email a .pdf file of your test results to info@northwestfancymouseassociation.org

Test Results

Click or drag a file to this area to upload.

Agreement

Signature

(Please use your initials as digital signature. Must be 18 years or older)

Captcha *

Website

Junior Membership Application

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Email *

Mousery Name

Please add the name of your mousery, and include prefix initials (up to 4 characters).
Leave blank if you don't have one.

Website

Please add the URL of your mousery. Leave blank if you don't have one.

What do you have?

Pets
Breeding
Show/Fancy

Would you like your information to be listed in the Breeders section? *

Listings on the Northwest Fancy Mouse Association website are for breeder members, and are optional.

Please describe the color(s) and variety (coat style) of the mice you have.

Do you have lab testing done on your animals?

Diseases tested for and results:

Please upload or email a .pdf file of your test results to info@northwestfancymouseassociation.org

Test Results

Click or drag a file to this area to upload.

Agreement

Age

This application requires a parental signature

(Parent, please use your initials as digital signature)

Captcha *

Name