United Oriental Roller Association
MEMBERSHIP FORM
Sylvia Isom, Sec./Treas.
3357 Rutland Place, Cottonwood Heights UT 84121 


Please print out this form and mail to the above address. Individual yearly dues are $15.00. Family $20.00, and Junior (17 years and under) $5.00. Members receive quarterly bulletins & are eligible for awards offered by the club.



NAME:____________________________________________________________________


ADDRESS:___________________________________________________________________

CITY:________________________________STATE:_____________ZIP CODE:__________

PHONE:__________________________E-MAIL:____________________________________



I (we) breed the following colors in Oriental Rollers.


Other Pigeon Breeds you raise:____________________________________________________

Comments/Additional Information:_________________________________________________

________________________________________________

Remember all memberships are renewable on January 1st of each year. Please return this form to the Secretary/Treasurer when paying club dues.


Back to Home Page