Membership fees are as follows:

Junior (under age 16)	        $ 7.50/year (no voting privileges)    
Single				$15.00/year		            
Family				$20.00/year		            
Business Associate		$20.00/year                               

MAKE CHECKS PAYABLE TO G.O.C.B.S.

Please fill out the following information:

Date:  ________________________New membership:  __________ Renewal membership:  __________

Name(s):  ________________________________________________________________________________
Address:  ________________________________________________________________________________
__________________________________________________________________________________________
                                        (DON'T FORGET ZIP CODE)

Home phone:  ______________________(do you want this included in the roster or unlisted?)
Work phone:  ______________________(do you want this included in the roster or unlisted?)
e-mail address:  _________________________________________________(included or unlisted?)

Pet birds: _______________________________________________________________________________
__________________________________________________________________________________________

Birds you breed:  ________________________________________________________________________
__________________________________________________________________________________________

Please bring this to one of the meetings or mail to: 
                            GOCBS
                            c/o Chuck Kietzmann
                            924 Hogan Dr.     
                            Papillion, NE 68046


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