All rights reserved.
Membership Form
Acadiana Bird Club, Inc.
480 Almonaster Road
Youngsville, La. 70592


Acadiana Bird Club, Inc was formed to promote the health and well
being of all pet and breeder birds. Our goals are the preservation of all
bird species through public education on the proper care and breeding
of birds. Please join us to help attain these goals. Dues or only
$25.00. Dues are due by February 28th each year.
Name(s):
_________________________________Date____________________
Address:________________________________________________
City:_________________ State:_________________Zip:______
E-Mail_________________________________________________
Phone
number____________________Cell__________________________
Membership type:   
New_________Renewal____________________________________
Type of Membership Family (2)votes_______ Single Adult________
(Please note: anyone under 18 must join as a family membership and
the membership will be in the parents/guardians name including your
name)
Type of birds you own:-
_______________________________________________________
_______________________________________________________
______________________________________________________
Can the above info be printed in our membership roster? Yes___No___
The roster is for members only and is not sold or disclosed to anyone
outside of our membership.
May your address be disclosed to vendors who wish to mail out flyers
or ads? Yes____No____
May pictures taken of you and/ or your birds be printed in the
newsletter or web-site. Yes____________No__________
They will not be used for any other purpose.