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           Australian National Cockatiel Society Inc           
        Online Membership form
             
*
Denotes compulsory field

*Tick  Application    or  Renewal

*Type of Membership          

                                                                            *Name:  

                                                                          *Address:  

                                                                           *Suburb:            *Postcode:  

                                                                              *State:                *Country:    

                                                                       Phone No:  

                                                                 Month of Birth:  

                                                                              Email:  

 

                                                               Cockatiels kept:    Breeding:              Pets:

                                                                  

Website Member/Friend Courier Mail
Pet Shop Bird sales Pet Expo
Vet  Other - Please Specify:

 

* I / We hereby apply for membership to the Australian National Cockatiel Society  Inc. and

agree to be bound by the constitution, rules, and regulations of the Society.

I understand that as  a financial member I am entitled to receive six (6) issues

of the bi-monthly journal per calendar year at no additional cost.

 

* I am over 18 years of age

(If under 18 then parental consent is required)

 

Payment method  

Bank details will be emailed upon receipt of completed membership form.

Forms will not be processed until payment has been received in full.

Standard    $30.00 / Annum 
Junior / Pensioner $24.50 / Annum 
Overseas   $42.00 / Annum 

All amounts are in Australian Dollars.
Membership renewal falls due in December of each calendar year.

To calculate prorata fees please contact the club secretary.

secretary@cockasecretary@cockatielsociety.org.autielsociety.org.au

If paying by cheque or money order please make payable to
The Australian National Cockatiel Society Inc

The Secretary
A.N.C.S.
PO Box 1248
Fortitude Valley  Qld  4006