Tri-State Budgerigar Society

BAA Code__________      ABS Code__________

                    Individual membership in BAA or ABS not required.

Primary Interest/Ownership:

                Exhibition type (English) ___     Pet type (American) ___

Exhibition Status:

Pet Owner (non-exhibitor/non breeder) ______ 

Future Exhibitor ______ 

Current Exhibitor ______ 

Level: Junior ___  Novice ___  Intermediate ___  Champion ___ 

Dues Rates (please circle one)

Junior: $12.00/year or $22.00/2 years for any individual who will not reach
his or her 17th birthday by March 31 of the current year.

Regular: $15.00/year or $28.00/2 years - Any individual 17 or older by
April 1 of the current year.

Dual: $18.00/year or $34.00/2 years - Two members of the same household
that qualify for "regular" membership.

Family: $21.00/year or $40.00/2 years - Same as Dual membership, and
up to two children of "Junior" status.

Senior Citizen (age 65 or older): $12.00/year or $22.00/2 years.

Senior Citizen Dual: $15.00/year or $28.00/2 years - Two members of the same
household; at least one age 65 or older.

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Dues are payable by March 31 of each year. New members joining after
June 30 may pay 50% of the annual dues for the year of joining. Members
renewing late in the year must pay the full amount.

Please make checks payable to Tri-State Budgerigar Society.
You may give your check to any officer, or mail it to:

Joyce D'Accardi, Treasurer
4 Wendy Lane
Marlboro, NJ 07746
Phone: (732) 462-5616