Membership Application
for
The Muscle Shoals Parrot Head Club

Welcome Aboard!

The Muscle Shoals Parrot Head Club is a non-profit organization supporting local charities and enviromental projects.

Name(s):______________________________________

Address:______________________________________

City:__________________________________________

State:_________________________________________

Phone:________________________________________

How did you hear about us?_______________________

_____________________________________________

Suggestions for future activities:___________________

_____________________________________________

Dues:
Individual - $25.00 Couple - $50.00

Mail this form with an enclosed check to:

The Muscle Shoals Parrot Head Club
P.O. Box 2607
Muscle Shoals, AL 35662

Please note that all new members are welcome and encouraged to attend but are required to join prior to admittance to events.