Connecticut Parrot Society, Inc.
Membership Application
Date_______________________ Circle one: New Member Renewal
Name(s) __________________________________________________________________________
Telephone ( )___________________
Address ___________________________________________________________________________
City________________________________________ State____________ Zip Code____________
Email address_____________________________________ Do you have Microsoft Word?__________
List type(s) of parrots you own___________________________________________________________
___________________________________________________________________________________
How did you hear about the Connecticut Parrot Society, Inc.? __________________________________
Do you have any special talents or skills that you would like to share i.e.
Arts, Web, Typing, Cooking, Legal?
_____________________________________________________________________________________
_____________________________________________________________________________________
Would you be interested in volunteering for CPS? ______________________________________
Membership Fees
Single membership (one adult only) . $ 25.00
Family membership (2 adults and children) $ 30.00
If you are unable to receive the Newsletter by email, there is an additional
$ 5.00 charge annually to cover copying and mailing costs.
MEMBERSHIPS WILL RUN FROM SEPTEMBER 1st to AUGUST 31st. For new members, dues are pro-rated from the month you join, up to August 31st.
Membership fee schedule (for new members, only)
| Sept | Oct | Nov | Dec | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | |
| Single ($) | 25 | 23 | 21 | 19 | 17 | 15 | 13 | 11 | 9 | 7 | 5 | 3 |
| Family ($) | 30 | 28 | 26 | 24 | 22 | 20 | 18 | 16 | 14 | 12 | 10 | 5 |
Please make checks payable to: CPS and
mail to:
Connecticut Parrot Society, Inc.
P.O. Box 488
Middletown, CT 06457