JOIN AND BECOME A MEMBER TODAY

 

                                                                   

NPC PIN

 

   Membership Application

January 1 - December 31

  

                             Annual Membership includes 4 Quarterly Newsletters

New Member    Renewal 20___

Single $20.00      Dual $25.00

NPC Pins @ $5.00 Ea. # Ordered ______= $______________ 

Add S/H Fee of $3.00 if ordered separately from your band order.

AD in NCBS Show Catalog         $10.00

NPC Bands @ $ 7.50 for 25 plus $2.00 For Postage/Shipping : Below price includes S/H

25 Bands $ 9.50 50 Bands $ 17.00 75 Bands $ 24.50 100 Bands $ 32.00

AD in Newsletter (4 issues/year)  $10.00         Band Numbers:___________________

Total Amount Enclosed $ _______________ / US Funds Only

                     

                          PLEASE MAKE CHECK/MONEY ORDER PAYABLE TO:

                           NATIONAL NORWICH PLAINHEAD CANARY CLUB 

                                          MAIL TO NNPCC Secretary/Treasurer:

                                                     CANDACE  PEZZUTI

                                                      3844  LINDELL  Rd.                                      

                                                      LAS  VEGAS, NV 89103

  NAME  (PLEASE PRINT) : _______________________________________________

 

ADDRESS: _____________________________________________________________

 CITY/STATE/ZIP: ______________________________________________________

  

TELEPHONE NO. : (     ) _________________________________________________

  

E-MAIL ADDRESS: _____________________________________________________

  

WEB ADDRESS ________________________________________________________