- Dues:
Single Membership @ $20.00 a Year (U.S. funds)______
Duel Membership @ $25.00 a Year (U.S. funds) ______
Is this a Renewal _____ or New _____ Membership?
Name(s) Membership to be listed as:
Name(s):__________________________________________________________
Address: __________________________________________________________
City/State/Zip Code:________________________________________________
Area Code/Phone Number:________________________
E.Mail Address:_________________________________
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PLEASE NOTE: We are currently out of bands for 2008.
Bands Request for 2008: (Please remember to add $2.00 for packaging & postage)
Bands are .25cents each and sold in sets of 25 only
Number of bands requested ______ Total amount due on
bands plus the $2.00 for shipping $________
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- United Gloster
Breeder's National Catalog Ad
_____ Yes, I would like my name(s) place in the United Gloster Breeders National Catalog Ad for the year
2008 for $10.00
-
This is a good way to show support for the club.
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- Total amount due:$
___________ (including membership, bands and ad space if indicated
Thank you for your support of United Gloster Breeders
Make checks or money orders payable to UGB
