| PARROT FANCIERS' CLUB APPLICATION FOR MEMBERSHIP
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| DATE:________________
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| I/WE________________________________________________
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| APPLY FOR 1 YEAR MEMBERSHIP IN THE PARROT FANCIERS' CLUB, INC.
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_________________________________________________________________ Street Address
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_________________________________________________________________ City, State , Zip
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_________________________________________________________________ Telephone Number
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_________________________________________________________________ E-Mail Address
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Where Did You Hear About The Parrot Fanciers' Club?
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Are You Interested In Volunteering For?:
Hospitality__, Adoptions__,
Fostering__, Set Up__, Clean Up__, Mail Room__, Fundraising__, Library__,
Raffles__, Kitchen__
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| ENCLOSED PLEASE FIND CHECK OR MONEY ORDER IN THE AMOUNT OF:
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| $25.00
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Please make checks payable to the:
Parrot Fanciers' Club, Inc. PO Box 128 Amityville, NY 11701
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E-Mail: PARROTCLUBS@AOL.COM
Parrot Hotline @ 631-956-0015 24 Hours A day/7 Days A Week
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