Heart of Tennessee Aviculture Society
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Heart of tennessee aviculture sOciety
Membership application
Name
*
First
Last
Business Name
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Email
*
Name (Dual/Couple)
*
First
Last
Name (Additional Family Member)
*
First
Last
Phone Number/Home
*
Phone Number/Cell
*
Select Membership Level - New Member
*
Individual - $15.00 yearly
Dual/Couple - $20.00 yearly
Additional Family Member - $5.00 yearly
Select Membership Level - Renewal
*
Individual - $15.00 yearly
Dual/Couple - $20.00
Additional Family Member - $5.00 yearly
Are you a Breeder?
*
Yes
No
Do you exhibit your bird/s?
*
Yes
No
If yes, in what Division/s do you exhibit?
*
I agree with / am dedicated to the purpose of the Heart of Tennessee Aviculture Society
Click on statement above to read Purpose
*
Click here to agree
Submit Application
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