Name:

Address:

City, State, Zip:

Phone:

Email address:

Bird species that you have:

Hobbies or Special Talents:

How did you hear about the club?

Please circle any committees you'd be interested in:

Would you consider boarding a fellow member's bird?     Yes     No

Would you like your name published in our directory?     Yes     No

Please complete this application and remit it with the $45 annual membership fee ($25 outside NY / NJ).  The fee covers an entire family at the same address.  Mail to:

The Real Macaw Parrot Club 
c/o Art Zimmermann, President
90 Lakeview St.
River Edge, NJ  07661

Check our web site for more information:   www.realmacaw.com