Send membership application to:
John Miles
1004 Olmsted Drive
Glendale, CA 91202-1430
or
copy the note below and paste into your word processing
software. We look forward to hearing from you.
I/We, hereby apply for membership to the San Gabriel Valley Parrakeet Association. I/We agree to abide by the bylaws and rules of the organization.
Name(s): _________________________________________________
Birthday(his): _______________________________________________ (Day & Month only) City & State:_______________________
Birthday(hers/partner): ________________________________________ (Day & Month only) City & State:_______________________
Street address: ____________________________________________
City, State, Zip: ___________________________________________
Phone #: ___________________________ Date: _________________
List Children: ___________________________ Birthday: _____________________(Day & Month only) City & State:_______________________
___________________________ Birthday: _____________________(Day & Month only) City & State:_______________________
___________________________ Birthday: _____________________(Day & Month only) City & State:_______________________
___________________________ Birthday: _____________________(Day & Month
only)
City & State:_______________________
Birthday wishes are announced it our bulletin.
Included with this application are annual dues in the amount of
$__________.
Dues: Family or Partners . . .$20.00 per year (includes husband/wife/partner & children)
Dues: Junior . .... . $5.00 per year (ages 7 - 17 only if they want to receive a bulletin or their parents are not members)