Membership Form Single $5 / Family $10
Name(s):
_____________________________________________________________
Address:______________________________________________________________ OPTIONAL
City:__________________________________State/Zip:______________________ Check here to receive
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I am interested in the following activities:
__Parties__Writing for Newsletter__Producing Newsletter__Hosting Parties
__Local Community Service__National Community Service__Concerts
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The Obligatory Fine Print:
Each member of the
Traverse City Parrot Head Club is responsible for his or her own actions and
behavior and shall treat phellow members, guests,
hosts, and their personal property with respect. Members agree to abide by all
local, state and federal laws. Members agree to abide by all the bylaws of the
Traverse City Parrot Head Club.
Membership in the
club does not give the members permission to use Jimmy Buffett’s
name, song titles, lyrics, names of businesses or other trademarked,
copyrighted or reserved material owned by Jimmy Buffett;
nor can any member use the logo of the Traverse City Parrot Head Club or Parrotheads in Paradise, Inc.
Since Parrot Heads
are known to enjoy a cold one, we support using a designated driver. This
contribution is not tax deductible as a charitable contribution for
federal or state income tax purposes.
Signature/date_________________________Signature/date_______________________
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out and fax to 1 888 867 7910 or mail to