PPHC - Online Membership Registration

Join The Palmetto Parrot Head Club
"Come Along Let's Have Some Fun"

Club dues are due March 31, 2011! It's fast and easy to pay your dues online. Simply select the membership type, fill out the form and you can pay with a credit card or PayPal account. There is a $1 fee added for online processing and your membership is not official until you receive PayPal confirmation.

Membership Dues Are:

Single Membership: $25
Family/Couple Membership: $35

Join/Renew By Mail

Mail completed Membership Form and check (payable to "PPHC") to:

Palmetto Parrot Head Club
P.O. Box 2651
Columbia, SC 29202

Join/Renew Online

Membership Type: *
First Name: *
Last Name: *
Birthday:
Address: *
City: *
State: *
Zip Code: *
Email Address: *
Primary Phone: *
Secondary Phone:

Family membership?
Please enter additional information

First Name:
Last Name:
Birthday:
Phone:
Email Address:
Child Name(s):
Security Code: Reload
*

Join The Palmetto Parrot Head Club "Come Along Let's Have Some Fun"

Family membership?Please enter additional information

Join The Palmetto Parrot Head Club
"Come Along Let's Have Some Fun"

Family membership?
Please enter additional information