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PPHC Membership Application
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Palmetto Parrot Heads Registration Form

The Palmetto Parrot Head Club & Parrot Heads in Paradise are nonprofit organizations whose purposes are to assist in community and environmental concerns and provide a variety of social activities for people with similar interests. By filling this out and paying your dues, you agree to abide by the Palmetto Parrot Head Club by-laws. The dues are not tax deductible.
Circle Membership Type: $25 (Individual) $35 (Family)
Name:____________________________________________________
Address:_________________________________________________
Referred By:______________________________________________
Birthday(s):_____________________________________________
Birthday(s):_____________________________________________
Phone number - home__________________work________________
E-mail address(es):______________________________________
Make Checks Payable to: Palmetto Parrot Head Club
Mail to:
Palmetto Parrot Head Club
PO Box 2172
Irmo, SC 29063



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http://www.palmettoparrotheads.com/