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______= $______

AD in NCBS Show Catalog $10.00

NPC Bands @ $ 7.50 for 25 plus $2.00 For Postage/Shipping

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

AD in Newsletter (4 issues/year) $10.00

Total Amount Enclosed $ _______________

Please make check/money order payable to: National Norwich Plainhead Canary Club and send it to:
Candace Pezzuti
3844 Lindell Rd.
Las Vegas, NV 89103-2473

Name (please print):

Address:

City/State/Zip Code:

Telephone No.( )

E-Mail Address:

Web Site:

Membership Application

January 1 - December 31

Annual Membership includes 4 Quarterly Newsletters

Please make check/money order payable to: National Norwich Plainhead Canary Club and send it to: Candace Pezzuti 3844 Lindell Rd. Las Vegas, NV 89103-2473 Name (please print): Address: City/State/Zip Code: Telephone No.( ) E-Mail Address: Web Site:

Please make check/money order payable to: National Norwich Plainhead Canary Club and send it to:
Candace Pezzuti
3844 Lindell Rd.
Las Vegas, NV 89103-2473

Name (please print):

Address:

City/State/Zip Code:

Telephone No.( )

E-Mail Address:

Web Site: