CVBA Membership Form


Please complete the form below. Membership fee is P1,000.00. For new applicants, refer to requirements for new applicants. Application will be submitted for screening to the CVBA Membership Committee.


Name
  
Age
  
Civil Status
  
Date of Birth
  
Place of Birth
  
Home Phone
  
Mobile
 
Email Address
 
City Address
  
Phone
  
Provincial Address
  
Phone
  
Name of Farm
 
Address
  
No. of Gamefowl Farms
  
Locations
  
In what city/municipality
  
Authorized Farm Representative/s
  


I understand that as a member of this Association, I shall, within my capacity, promote the welfare of the Association, cooperate and participate in the compulsory annual CVBA Main Stag Derby.

I also understand that the participation of other stag / cock derbies will be optional on my part. I am fully aware of the requirements as a new applicant and if accepted, will abide fully the association’s membership guidelines.