·
Dues received are valid for ALL OF 2008. The cost is $15.00 for single membership and
$20.00 for joint membership. Please
fill in your name(s) and any information which may have changed.
·
You will receive your new ID card after December 2007.
Renewal application only, do
not use for new applications. Is this a
joint or single membership? _________
Name:
___________________________________________________________________________________
Name:
For second person, joint apps:
___________________________________________________________
Address:
_________________________________________________________________________________
City:
Work
Phone: _________________________ Second person work phone:
__________________________
E-mail
Address: _____________________________________________________________________
Check all of the areas where you would be willing to
help:
Newsletters Recruiting Public
Relations Social
events Service
projects I just want
to party
Make checks payable to: OMAHA NEBRASKA PARROT HEAD CLUB (ONPHC)
Mail this application and check or money order to:
Frank Siedlik
The state incorporation of the Omaha Nebraska Parrot
Head Club requires that members be at least 21 years old. This contribution is NOT deductible as a
charitable contribution for tax purposes.
New applicants please use the full application; any member will help you
get one for your use.
·
Dues received are valid for ALL OF 2008. The cost is $15.00 for single membership and
$20.00 for joint membership. Please
fill in your name(s) and any information which may have changed.
·
You will receive your new ID card after December 2007.
Renewal application only, do
not use for new applications. Is this a
joint or single membership? _________
Name:
___________________________________________________________________________________
Name:
For second person, joint apps: ___________________________________________________________
Address:
_________________________________________________________________________________
City:
Work
Phone: _________________________ Second person work phone:
__________________________
E-mail
Address: ___________________________________________________________________________
Check all of the areas where you would be willing to
help:
Newsletters Recruiting Public
Relations Social
events Service
projects I just want
to party
Make checks payable to: OMAHA NEBRASKA PARROT HEAD CLUB(ONPHC)
Mail this application and check or money order to:
Frank Siedlik
The state incorporation of the Omaha Nebraska Parrot Head Club requires that members be at least 21 years old. This contribution is NOT deductible as a charitable contribution for tax purposes. New applicants please use the full application; any member will help you get one for your use.