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info@usa-lowline.org		 American Lowline Registry
19590 East Mainstreet #104, Parker, CO 80138
P: 303-840-4343 | F: 303-770-9302
Lowline Marketplace Lowline Breeders
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You can renew your membership or apply for membership online. We use a secure credit card processing system.

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New Member Online Version Available
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RENEW YOUR MEMBERSHIP
$25 Annual dues due January 1st of every year. Renew your dues online now with a credit card.If dues are received after January 1, there will be an additional fee of $10.

* Membership or
Farm Name(s):
 		 First & Last Name (if different):
 
* Address: 
* City:
* State:
  		* Zip (Plus 4):
 
* Phone:
   Ext.  		Alternate Phone:
   Ext. 
Fax:
   		Email:
Member No.:
Website:
Junior Memberbership
 Junior Member Date of Birth:
(only used for Junior Members)
/ /  
MM/DD/YYYY
Please list any changes to your contact information here:
Check here if you are renewing after Jan. 1
  




APPLY FOR MEMBERSHIP
Fill out the form below for online processing with a credit card OR print out the membership application and send in the mail. Click on the print icon to the right to print the application

Pay online or return this form with check or money order to:
American Lowline Registry
19590 East Mainstreet #104
Parker, CO 80138

Active Memberships
$50 Initiation Fee
$25 Annual Dues (dues year is calendar year)
$75 Total

Junior Membership (age 21 or younger)
$10 Annual Dues (dues year is calendar year)

ONLINE MEMBERSHIP APPLICATION
(New Members only)
* Membership or Farm Name(s):
 		 * First & Last Name: 
 
* Address: 
* City:
* State:
  		* Zip (Plus 4):
 
* Phone:
   Ext.  		Alternate Phone:
   Ext. 
Fax:
   		Email:
Breeder ID Letters:
2 or 3 letters. This ID will be
reserved for exclusive use by
your membership.
* First Choice  Second Choice
                 		 Website:
Membership Referred by: 
ALR Member #:
Junior Memberbership
 Junior Member Date of Birth:
(only used for Junior Members)
/ /  MM/DD/YYYY
I submit my application for membership in the American Lowline Registry and agree to abide
by the rules and regulations of the Registry, as established by the ALR membership.
  

 

 
   
 
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