Tri-State Budgerigar Society

BAA Code__________      ABS Code__________

                    Individual membership in BAA or ABS not required. Your membership
                information will only be used within the club; we do not share or sell our list.

Primary Interest/Ownership:

                Exhibition type (English) ___     Pet type (American) ___

Exhibition Status:

Pet Owner (non-exhibitor/non breeder) ______ 

Future Exhibitor ______ 

Current Exhibitor ______ 

Level: Junior ___  Novice ___  Intermediate ___  Champion ___ 

Current Dues Rates (please circle one)

Junior: $12.00/year or $22.00/2 years for any individual who will not reach
his or her 17th birthday by March 31 of the current year.

Regular: $15.00/year or $28.00/2 years - Any individual 17 or older by
April 1 of the current year.

Dual: $18.00/year or $34.00/2 years - Two members of the same household
that qualify for "regular" membership.

Family: $21.00/year or $40.00/2 years - Same as Dual membership, and
up to two children of "Junior" status.

Senior Citizen (age 65 or older): $12.00/year or $22.00/2 years.

Senior Citizen Dual: $15.00/year or $28.00/2 years - Two members of the same
household; at least one age 65 or older.

*The listed dues rates above are for memberships that will receive newsletters and club correspondence by email only. If you do not have access to a computer, or need a printed version sent to you by regular mail, there is an additional fee to cover increased costs to the club. For U.S. residents, please add $12 per year, per membership level ($1.00 per month). Also, U.S. members that have not placed a catalog ad and who will not be attending our show should include $2.00 per catalog requested. If outside the U.S., please contact the club for costs associated with postage.

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Dues are payable by March 31 of each year. New members joining after
June 30 may pay 50% of the annual dues for the year of joining. Members
renewing late in the year must pay the full amount.

Please make checks payable to Tri-State Budgerigar Society.
You may give your check to any officer, or mail it to:

Joyce D'Accardi, Treasurer
4 Wendy Lane
Marlboro, NJ 07746
Phone: (732) 462-5616