H&D BUDGERIGAR SOCIETY INC.

"H&D MEMBERSHIP FORM"
Print out and mail to:
BERNADETTE HANSEN
934 BRUCEDALE AVE. EAST
HAMILTON, ONTARIO, L8T 1L9
MAKE CHECKS PAYABLE TO: H&D BUDGERIGAR SOCIETY INC.
Bar SINGLE & FAMILY :$25.00 per year.

H&D Budgerigar Society Inc. : Membership Form
New Member: Membership Renewal:
NAME:
ADDRESS:
CITY:
PROVINCE/STATE:
COUNTRY:
POSTAL/ZIP:
TELEPHONE:(_____ )
E-MAIL:
Bernadette Hansen, Secretary, 934 Brucedale Ave. E. Hamilton, Ontario, L8T 1L9

SINGLE & FAMILY :$25.00 per year.

E-Mail: berniehansen@sympatico.ca

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