Membership Form

SPBE Store Order Form

Fill out this form, print it, and please send it to the address below.

To Print this Form, click on File, Print, and Print Preview. In the drop-down box, select only the selected frame, then click on the print button.

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Item	Amount	Qty	Total
Member's Handbook	$15.00
Breeder's Notebook	$15.00
Illustrated Parrot Classifications	$25.00
Generic Genetics: Book	$25.00
Address Book	$4.00
Carolina Parakeet Cloisonné Pin	$6.00
Hawk-Head Parakeet Pin, Lt. Ed	$7.00
Leadbeater's Cockatoo Pin, Lt. Ed.	$7.00
Hand-Painted Bird Pins-9 Styles	$20.00
Journals-Back Issues	$4.00
Journal Binder/SPBE Logo	$7.00
Key Chain/SPBE Logo	$5.00
Water Bottle/SPBE Logo	$5.00
SPBE Bumper Sticker	$3.00
SPBE Window Decal	$3.00
SPBE Name Tag/Membership #	$7.50
Members Handbook Update	$2.50
Orders under $10.00 add $3.00; over $10.00 add $5.00 First Class delivery-add additional $3.00		Subtotal
		Postage & Handling:
		Total:

First Name: Last Name:

Address:

City:

State: Country:

Zip:

Phone:

E-Mail:

Mail Forms & Payments to:

Jolene Newcomer
234 Wilson Rd.
Sparrow Bush, New York 12780