Please print out this application form, fill it out, and bring it to the next meeting or mail it, along with your check to:
2232 S Main St #183
Ann Arbor, MI 48103
Dues are $20.00 per year for single or family membership, pro-rated to $10.00 after May first. Dues are renewable annually and run from November through October. Make checks payable to ANN ARBOR COMPANION BIRD CLUB.
(Please print legibly) _____Renewal Application _____New Application
CITY:_______________________HOME PHONE:( ___ ) __________________
STATE:_________ZIP:________WORK PHONE:( ___ ) __________________
Would you like to be listed on the annual member telephone list? YES___NO___ (no charge for listing)
Would you like to be listed as a member breeder? YES___NO___ Addresses are not published.
would you like to be listed -- as above / first name only / full name
/ with business name / business name only / ?
What phone number(s) _______________________________________________
What kinds of birds do you want listed? _______________________________
I hereby apply for membership (new / renewal) in the ANN ARBOR CAGE
BIRD CLUB. and agree to abide by the constitution, By-laws and rules
of the club. (A copy of this form, signed by all
members over 18, is to be kept on file for renewals.
Approved: __________________________________________ Date: __________ Cash/Check (#_______ )
Receipt: ____________ Amount: ____________ Card Sent: ____________ List(s) B/T/None
Name Tags needed ____________________________________________________________