2009 MEMBERSHIP APPLICATION
DUES: 1 YEAR $25.00 FAMILY (CHILDREN 18 OR UNDER)
OR
DUES: 1 YEAR $15.00 SINGLE
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ADDRESS: ____________________
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The Chippewa Valley Parrot Head Club will be meeting at Bridgewater Restaurant & Pub, 1009 W. Park Avenue in Chippewa Falls , on the 2nd Tuesday of the month, at 7:00 p.m.
Any questions please call Tim Frederick at 839-9434 or 828-7002
A part of your membership dues goes to pay our membership in
PARROT HEADS IN PARADISE, INC.
The Chippewa Valley Parrot Head Club is an officially sanctioned chapter of Parrot Heads in Paradise, Inc. representing the Eau Claire-Chippewa Falls area in West-Central Wisconsin . This is a not-for-profit organization that mixes fun and charitable giving in a way that celebrates the spirit of Jimmy Buffett.
Return this application with a check made out to Chippewa Valley Parrot Head Club
Mail to: Sue Frederick(club treasurer), 8402 Partridge Road , Fall Creek , WI 54742
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CHECK _CASH_______AMOUNT PAID_____ DATE______________