Gulf South Bird Club Inc. Membership Application ( ) New ( ) Renewal Date ______________ Junior $7.50 ( ) Single $18.00 ( ) Family $20.00 ( ) Company $25.00 ( ) Name ____________________________________________________ Address __________________________________________________ City _____________________________________________________ State __________________ Zip Code __________________________ Phone (____) ______________________________________________ E-Mail ___________________________________________________ Check Specialty: ( ) Breeding ( ) Show ( ) Pets ( ) Sales ( ) Others List Birds That You Keep __________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________ Make Check Payable To: Gulf South Bird Club Inc. Mail: To Loretta Perez Membership Secretary 142 West 138th St. Cut Off, La. 70345 Please print and mail in or bring to next club meeting. Click on Home Page Link to return to main page. Home Page