MEMBERSHIP APPLICATION

OCALA PARROTHEADS IN PARADISE CLUB

C/O BRENDA SCHULTHEIS

5121 N.E. 4TH ST. OCALA FLORIDA 34470

NAME: ______________________________________________________

ADDRESS: ___________________________________________________

CITY:  __________________ STATE: ____ ZIP: __________

EMAIL: _______________________ DATE OF BIRTH: _____________

WHO GOT YOU INTO THIS MESS?? _______________________________

WAS IT THE WEB SITE? ________  SHIRT SIZE   M  L   XL  (CIRCLE ONE)

IS IT O.K. TO PRINT YOUR NAME, ADDRESS AND EMBARRASSING PICTURES TO BE USED IN CONJUNCTION WITH YOUR CURRENT AFFILIATION WITH THE OCALA PARROTHEADS? (CIRCLE ONE)  SURE    NO WAY

ANNUAL DUES ARE $20 PER MEMBER. MAKE YOUR CHECK PAYABLE TO: OCALA PARROTHEAD CLUB.

WHAT DO YOU GET FOR YOUR $20??

OUR EXCLUSIVE 5 COLOR OCALA PARROTHEAD OFFICIAL T-SHIRT. OFFICIAL NAME TAG. LOTS OF BRAGGING RIGHTS AND THE ABILITY TO CALL YOURSELF AN OFFICIAL PARROTHEAD.   NOT TO MENTION A COPY OF OUR "ALMOST MONTHLY"  NEWSLETTER (U.S.A. MEMBERS ONLY, SORRY) VIA SNAIL MAIL FOR THOSE OF YOU WHO DON'T HAVE A COMPUTER. AND LAST BUT NOT LEAST A PLACE TO HANG WHEN YOU VISIT FLORIDA.

PRINT IT OUT!! FILL IT IN!! MAIL IT WITH YOUR DUES!!