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 for Annual Membership to:

The Parrot Club of Manitoba
305 Thompson Drive
Winnipeg MB R3J 3E5

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