Forms: Membership Application Form

Won't You Join Us?

Become a member today by simply printing the application below, completing it and returning it with your check. You won't be sorry you did!

In return, you will receive:

• a membership card
• a subscription to our quarterly newsletter, Beak toTail
• free admission to monthly classes
• flyers on upcoming events

name________________________________________

phone number__________________________________

email address__________________________________

street address_________________________________

city, state, zip_________________________________

Where did you hear about PEAC?

___________________________________________

Type of membership

· _____ Individual - $20.00
· _____ Family - $30.00
· _____ Supporting - $75.00
· _____ Sustaining - $100.00 - includes T-shirt.
             (circle size: M - L - XL - XXL - XXXL )
· _____ Other donation amount $ ______________________

Send the above form with your check to:

Parrot Education & Adoption Center
P.O. Box 16412
Pittsburgh PA 15242

OR make your payment now using Paypal!

        

 

Parrot Education & Adoption Center (PEAC) Contact Copyright © 2007 Parrot Education & Adoption Center All rights reserved