Lakeland.2010 MEMBERSHIP FORM

You can print this Membership Form (it prints out WHITE, so you don't waste your ink) and post with a cheque for £7:50 or £12:50 Joint/couple
+ S.A.E. to receive your personal Membership Card through the Post
- alternatively Click here to fill in and 'On-line' Membership Form then pay by PayPal

Print out the 2012 Membership Form below and post to address below tog. with S.A.E.

2012 MEMBERSHIP FORM
Renewals - Due b4 Beginning April 2012

New Members Welcome at any time . . .

Members receive FREE ADVERTISING on the "Club's" Website, the BIRD BREEDERS DIRECTORY,
Newsletters + Free Advice Line for any Birdie Problems + registration on Avian Discussion Forum

Lakeland Parrot & Bird-keepers 'on-line' "Club"
Membership Renewal Form 2012

Please fill in ALL relevant sections in Block Caps esp. Tel + Email — (if you have one)

Name: ………………………………………………........................ Tel. No: ……………………………………………….

Address:………………………………………………………………………………………………………………………....................

………………………………………………………………………………....... Post Code: ………………………………….......

**Email : ………………………………………………....................... Mobile No: …………………………………….......

**Birds Kept:………………………………………………………………………………………………………………...................

..................................................................................................................................................................

Subs are only £7:50 per Member £12:50 Joint/couple
Cheques to be made payable to “B.J. Harbage” and posted to:
Lakeland Parrot & Bird-keepers, Glaramara, 9 Acorn Street, KESWICK, Cumbria CA12 4EA.
**Please enc. S.A.E. so that we can send your 2012 Membership Card.

By submitting this form you are agreeing to the 'Membership' Terms and Conditions