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United Oriental Roller Association
MEMBERSHIP FORM
Jim Green, Secretary /Treasurer
64 West 3400 Street, Salt Lake City, Utah 84115


Please print out this form and mail to the above address. Individual yearly dues are $10.00. Family $15.00, 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.

T-Pattern
Black/Dun
Barred
White
Buff/Tuffy
Almond/DeRoy/Sprinkle
Red/Yellow
Andalusian/Indigo
Other

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.


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