Membership Form
Please fill out all information fields required below in BLOCK letters. If payment is by money order please include membership form. If payment is by direct deposit please post membership form.
Name:
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Address:
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Ph: ( )
. Mob:
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Email:
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Breed of parrots:
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Please forward my membership number.
I have sent payment by direct deposit / money order
Of: $59.95... which entitles me to 12 months membership to The Parrot Package
Members will go into a draw for a Handraised Parrot of our choice in 2010
If I am placed in the draw for the Handraised Parrot, I agree to send a photo of myself, if I am the winner. I therefore give permission to have the photo of myself published in The Parrot Package Newsletter and The Parrot Package website.
Signature
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Date:
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If you are one of the new/renewed members to join, your membership number will be placed in a draw, for a beautiful Handraised Parrot.
Commencement date
13/07/09 - Closing date
12/07/10...
The lucky Member number will be randomly selected in July 2010 by respected Veterinarian Michael Cannon and will be notified by phone/email. A photo of yourself will be requested so it can be placed in The Parrot Package Newsletter and on The Parrot Package web site.
Please keep your membership no. in a safe place, as it is required to be quoted when placing orders etc
Terms and Conditions: 1.The prize is not redeemable for cash.2.The winner does not have to present at the time of the selection 3. Membership forms received after the closing date are not eligible for the draw of the Handraised Parrot 4. Membership is to NSW,ACT, QLD, SA and VIC Australian residents only.
Post your Membership form to:
The Parrot Package
16 Norman Street
Fairy Meadow 2519 NSW
for Direct Deposit:
St George Bank
Acc Name: The Parrot Package
Bsb: 112 879
Acc No: 127 403 296
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