invites you to

join us in promoting the Norwich canary.

(Membership includes an annual newsletter, English color-coded bands,and ANS certificates of award for your show)

Membership Application

Name:______________________________________________

Address:_____________________________________________

City: ________________________________

State:____________Zip:____________

Phone #: (____)______________________________

email: ______________________

___ New Member ___ Renewal ___ Single ___Dual

Annual Dues: $20 for a single membership; $25 Dual

Bands: 30 cents each. Available only in lots of ten.

10 banbs $3.00

20 bands $6.00

30 bands $9.00

40 bands $12.00

50 bands $15.00

Dues:___________

Bands: +___________

Shipping: + $1.00

Total :=___________