MIDDLE TENNESSEE CAGE BIRD CLUB MEMBERSHIP APPLICATION

(please print)

NAME____________________ DATE____________ E-MAIL_____________________________

ADDRESS__________________________________________________________________________

PHONE_________________BIRTHDAY=HIS____________HERS___________

MEMBERSHIP------------------------NEW (    ) or RENEWAL (   ) please check one

MEMBERSHIP DUES ARE DUE THE MONTH YOU JOINED EACH YEAR:

INDIVIDUAL:    $15.00 per year, ( 1 ) voting member    (    )

FAMILY:            $20.00 per year, ( 2 ) voting members  (    )

LIST OTHER CLUBS OR SPECIAL INTEREST GROUPS YOU BELONG TO:_____________________

___________________________________________________________________________________

LIST YOUR COLLECTION OF BIRDS:____________________________________________________

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ARE YOU A BREEDER:_______    WHAT KIND OF BIRDS___________________________________

DO YOU EXHIBIT YOUR BIRDS_______ WOULD YOU LIKE TO WORK IN THE CLUB_____________

IF YES WHAT CAPACITY______________________________________________________________

WHAT SPECIAL TALENTS WOULD YOU BE WILLING TO SHARE_____________________________

HOW OR WHOM DID YOU LEARN ABOUT THIS CLUB? _____________________________________

THE CLUB PUBLISHES A MEMBERSHIP ROSTER EACH YEAR.

PLEASE CHECK ANY INFORMATION YOU "DO NOT" WISH TO PUBLISH:

ALL (    ) NAME(    ) STREET (    )CITY(    ) STATE (     ) PHONE (    ) BIRDS (    ).

PLEASE RETURN THIS APPLICATION WITH CHECK OR MONEY ORDER  PAYABLE TO:

M.T.C.B.C.        

Send To: Lou Bryant

   495 McLeod Lane

                  Madisonville, KY  42431

   270-825-3628

In order to become a member of the Middle Tennessee Cage Bird Club the applicant

must be dedicated to the purposes of the club:

1. To insure the preservation and propagation of all birds.

2. To father the sciences of aviculture.

3. To exchange knowledge, information and experience relative to all birds.

4. To strive to further the education of its members while improving the breeding

standards by presenting activies exhibits and competitive events designed to

disseminate information to breeders and fancier's and the public.