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[Parrot]
Become a Member of the Frozen Fins!
[Parrot]
Frozen Fins, Vermont Parrot Heads In Paradise, Inc.
c/o Rodger Brassard
17 Winding Brook
South Burlington, VT 05403

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** ONE FORM PER PERSON Please **

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First Name: *
Last Name: *
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Date of Birth: ex: 10/25/59
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Membership fee is $15 for singles, $25 for household
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Make Checks Payable to: Frozen Fins, VT PHIP Inc.
Mail to: Frozen Fins,
VT Parrot Heads In Paradise, Inc.
c/o Rodger Brassard
17 Winding Brook
South Burlington, VT 05403
E-Mail

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Hold a Club Office
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