Membership Chairman: Diane Stanton: cyberick@cfl.rr.com |
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This page was last updated on: November 29, 2005
Florida Budgerigar Society. Membership Application. |
Membership Chairman: Diane Stanton: cyberick@cfl.rr.com |
Date: |
Phone: |
E-Mail: |
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New: |
Renewal: |
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Name: |
Birthday: |
2nd name for family membership: |
Birthday: |
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* |
* |
Address: |
City: |
State: |
Zip: |
E-Mail: |
Website: |
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$ 5.00 |
$ 10.00 |
$ 15.00 |
1 Vote. |
2 Vote. |
1 Vote. |
JuniorMembership(apart from family up to16yrs) |
Single Membership: |
Family Membership: |
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List Colour and Varieties you Breed: |
Skills you are willing to share: |
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How did you hear about F.B.S.; |
Referred By: |
A.B.S. Membership Code: |
BandCode: |
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Please list where you can assist our Club: |
Hosptitality: |
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Publicity: |
Library: |
Raffle: |
Show: |
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Newsletter: |
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F.B.S Office use only Please: |
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NewsletterBusiness Card Ad: |
Member:$5.00 per year. |
NonMember:$20.00 per year. |
F.B.S. is an American Budgerigar Society Afflitiate. [Pending] |
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Please feel free to copy Application and mail to: Florida Budgerigar Society. 1567 Manzanita Street NW. Palm Bay,FL 32907 |
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