Parrot Club of Manitoba - Membership Form

	PARROT CLUB OF MANITOBA Membership Application
	New Member: Renewal:
Date:
Name:
Address:
City:
Province/State:
Postal/Zip Code:	Phone#: ( ) -
E-mail Address:
Types of Bird(s) Owned:
	Please send $40.00 CDN per year for a Single Family Membership or $45.00 CDN per year for a Double Family Membership to: The Parrot Club of Manitoba P.O. Box 68020 RPO Osborne Village Winnipeg MB R3L 2V9
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