invites you to join us in promoting the Norwich canary.

(Membership includes an annual newsletter,
English color-coded bands
and ANS certificates of award for your show)

Membership Application
 

Name:______________________________________________

Address:____________________________________________

City: __________________________ State:____________

Zip:    ____________             

 
Phone #: (____)________    email: _______________________

___ New Member ___ Renewal ___ Single ___Dual

Annual Dues: $20 for a single membership; $25 Dual
 

Bands: 30 cents each. Available only in lots of ten.

[  ] 10 bands $3.00       [  ]  20 bands $6.00      [  ]  30 bands $9.00

[  ]  40 bands $12.00       [  ]  50 bands $15.00


Dues:___________

Bands: +___________

Shipping: + $1.00

Total :=___________

Send to:

Stephanie Burk , Treas./Sec.

P.O. Box 35973

Las Vegas, NV 89133





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