APPLICATION FOR MEMBERSHIP

New _____ or Renewal _____ For the calendar year ________________

 Please Print off and Mail To:
Lee Gibson
P.O. Box 1712
Keller, Texas 76244

A roster is printed each year.
Each member will receive this roster.
Please indicate the information you wish to have included in the booklet.

 

Include in roster:
Y or N

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:______________________________________