Membership Form

Print this form, fill it out and mail it with payment to address below.
do not send cash in mail.

MEMBERSHIP APPLICATION FORM

Saskatoon Pet Bird Society

Name: ___________________________________________

Address: ___________________________________________

City/Province: ___________________________________________

Postal Code: ____________

Phone #: ( )___________

E-mail Address: ___________________________________________

Type of birds kept: ___________________________________________

___________________________________________

Membership Fee: $15.00/year per person ____ $20.00/year per family ____

I, the undersigned, apply for membership in the Saskatoon Pet Bird Society and agree to conform to all its bylaws.

______________________________ _______________________________

Name Date

Please direct Membership Applications to:

Monica Ruszkowski
259 Girgulis Court
Saskatoon, Saskatchewan
S7K 6X1
(306) 384-8427
ruszkowski@sasktel.net

Thank you.

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For internal use only

Membership Fee Paid: Exec. Officer:

Year: ____________ ___________