Peninsula Caged Bird Society

MEMBERSHIP APPLICATION


NAME(S)__________________________________________________________________


ADDRESS__________________________________________________________________


CITY_______________________________________STATE________ Zip_____________


TEL. NO.___________________________E-Mail________________________________


OKAY TO PUT TEL. # IN ROSTER?     YES         NO (circle one)


NO. OF BIRDS__________________


Species__________________________________________________________________


_________________________________________________________________________

One year membership $15, up to two names at same address.

Write check to: Peninsula Caged Bird Society.

Mail to: PCBS. PO Box 5171, Newport News, VA. 23605.

    PCBS now has a personal PayPal account. This type of account CAN NOT take credit cards. To pay Membership fee with PayPal send payment to pcbs2006@cox.net

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Page created by Kathy Greaser 5/24/00
Last Update 11/21/2006