Membership Application

January 1 - December 31

NPC Logo

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

# Ordered __________

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: