Exotic Bird Club Of Florida.

Membership application.

MembershipChairperson:

B.Hickey:   ehickey1@cfl.rr.com

Date:

Phone:

New:

Renewal:

Name:

* 2nd name for family membership:

Birthday:

Birthday:

StreetAddress:

City:

State:

Zip:

E-Mail:

Website:

Club  Dues----One Year Membership Runs From July 1st Through June 30th.

Single Membership:

$18.00                  1 Vote.

Family Membership * :

$22.00                  2 Votes.

Junior Membership(apart from family)

$10.00                  O  Votes.

List Species of Birds owned:

Special Interests:

Skills you are willing to share:

How did you hear about us?.

Would you be interesting in assisting in some way with the following.If so please check the following:

Library:

Raffle:

Hospitality:

Refreshments:

Historian:

Other:

The Exotic Bird Club Of Florida does not condone active hybridization of any Avian Species.

Please feel free to copy Application and mail to:

Exotic Bird Club of Florida. PO Box1177.Melbourne Fl 32902

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This page was last updated on: October 14, 2008

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EBCF Receipt

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