APPLICATION FOR MEMBERSHIP New _____ or Renewal _____ For the calendar year ________________ Please Print off and Mail To: Each member will receive this roster. Please indicate the information you wish to have included in the booklet. Include in roster › › Name:____________________________________________________› › Business Name(bird related):_________________________________› › Address:__________________________________________________City:__________________________State:________Zip Code:_______ › › Home Phone:___________________› › Business Phone:________________› › Fax Number:____________________› › E-Mail Address:_________________ › › Species of birds that you show:________________________________› › Species of birds that you breed:_______________________________ › › Species of birds you have as pets:_____________________________Dues are $20.00 individual or $25.00 per couple per calendar year from January lst through December 3lst. New members who join between October lst and January lst will be credited with the current year and the following year. Two members of each household can join under one membership. All memberships must be paid by February 28th each year if you wish to be listed in the membership roster. All memberships must be approved by the Executive Committee. SIGNATURE OF APPLICANT(S)______________________________________ Referred by:______________________________________ |