1. Print out this
page.
2. Fill out the
information and write your check out to: North Coast Parrot Head
Club
3. Mail both to:
North Coast Parrot Head Club, P.O. Box 31451,
Independence, OH 44131
Address: _______________________________________
City, State, Zip: __________________________________
Phone: _________________________________________
E-Mail: ________________________________________
Birthday(s):_____________________________________
Favorite Buffett or phlocking memory:______________________________________
______________________________________________________________________
Favorite Charity:_______________________________________
How you heard about the Club:______________________________________________
________________________________________________________________________
T-Shirt Size(s): M
L XL XXL
This contribution is not deductible as a
charitable contribution for federal income tax purposes.
Family Membership: $45/year (includes 2 t-shirts for first time members)
Single Membership:
$35/year (includes 1 t-shirt for first time members
The membership year is
July to July. Memberships received during the year can be
prorated.
Extra T-Shirts: $15 each