Youth Membership Form

A Youth Member must be age 8 to 18 years.

There is no charge for a youth membership.

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YOUTH MEMBERSHIP FORM

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Name: *

Address: *

City/State/Zip: *

E-mail address: *

Telephone/fax: *

Kennel Name: *

Age: *

Parent or Relative: *

Chapter:

County *

I agree to abide by the MPBA By-Laws and Code of Ethics

Dog Breeds:

Cat Breeds:

Exotics

Web Site:

I herby agree that my data entered in the contact form will be stored electronically, and will be processed and used for the purpose of establishing contact. I am aware that I can revoke my consent at any time.

Note: Fields marked with * are required

Contact Us Today!

Missouri Pet Breeders Association
313 B West Commercial

Lebanon, MO 65536

Phone: 417-718-4182

e-mail: 4agfriends@gmail.com

2022 Professional Dog Breeder's Directory

Find a Professional Breeder Now.

Elite Sponsor

Recommended Vaccine Protocol for MPBA Members

President:

Kevin Beauchamp

4agfriends@gmail.com

417-718-4182

Vice President:

Rodney Blosser

417-327-6315

Correspondence Seccretary:

Kathleen Monks

southernstylepuppies@gmail.com

Membership Secretary:

Deb Allen

MPBAmembership@gamil.com

Treasurer:
Pam Monnahan

MPBAtreasurer@gmail.com

Communications Director:

Hannah Gordon

mpbamagazine@gmail.com

Publicity Director:
Ann Quinn

mpbamagazine@gmail.com

Send Articles & News to

4agfriends@gmail.com

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