Membership Application

                                                          January 1 - December 31

 

                               Annual Membership includes (4) Quarterly Newsletters

 

New Member _____ 2016                          Renewal ____ 2016

 

Dues Single/Family $ 20.00                  

 

NPC Bands  ( 25 ) $ 15.00    ( 50 ) $ 30.00  ( 100 ) $ 60.00  Plus S/H Fee $ 5.oo

 

NPC Club Pins ( 1 ) $ 10.00 Plus S/H Fee $ 3.00 if ordered separately

 

AD in the National Bird Show Catalog $ 10.00

 

Ad in our Quarterly Newsletter              $ 10.00

 

Total Amount Due ( US Funds)               $

Make Checks Payable to National Norwich Plainhead Canary Club

 

Send Payment to : Candace Pezzuti

                                  3844 Lindell Rd. Las Vegas, NV 89103

 

Members Name: __________________________________________ Address:_____________________________

 

City/State/Zip: _________________________________________________________________________________

 

Telephone: (       ): __________________________ E-mail: _____________________________________________

 

 

Newsletters are sent out via email unless a hard copy is requested.