preserving birds through aviculture  
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               : Membership : Contact Officers
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Membership Application

 

Please copy this page and add your information and send the file to Chris Kraum at: kraum@sbcglobal.net

Mail the Membership Application and pay dues via

Note: Dues are $20/year. If paid through PayPal, $21.00 will be charged to include applied PayPal fees.

OR

You may also print and send with membership dues of $20 to this address:

Pyrrhura Breeders Association

c/o Chris Kraum, Secretary

14707 Wood Drive
Magalia, CA 95954

 

Yes     I would like to renew my membership for another year.

No       I am not interested in renewing my membership at this time.

     Please indicate your reason for not renewing.  We are interested in knowing how we can better serve
     the needs of our members.

 

 

Demographic Information*

 

Name

 

Mailing Address**

 

City, State

 

ZIP**  

Email Address

 

Telephone Number**

 

 

If this is a renewed membership, does this reflect a change from your previous information?                  Yes       No

*Your personal information will NEVER be given to anyone unless you give permission.

Do you want to be listed in the PBA Members Breeder Database on the PBA web site?                  

                 Yes       No

**This information will not be included in the Breeder's Database unless you specify.

 

 

Have you been convicted of a United States Fish and Wildlife Service (USFWS) or animal cruelty violation in the last 10 years?                                         Yes       No

 

 

Please list the Pyrrhura species you currently breed:

 

 

 

 

 

Please share your reason for wanting to join the PBA:

 

     

 

 

 

Would you be interested in serving the PBA

                 As an officer?                                                                Yes     No                                                                         

                 As a committee member?                                          Yes     No                                      

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copyright 2007 Pyrrhura Breeders Association