POLISH BREEDERS' CLUB
***** MEMBERSHIP FORM*****
Member Dues are $10.00 for an individual and $15.00 for a family per year. Life time membership is $100
Send a copy of this application and a check/money
order payable to "Polish Breeders' Club" to or pay-pal at polishman@woh.rr.com add $1 to cover their fee's. Please send below info as well.
Jim Parker
3232 Schooler Road
Cridersville, Ohio 45806
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CITY___________________________________________________
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TELEPHONE NUMBER (optional)_______________________
E-MAIL ADDRESS (optional)___________________________
E-mailed newsletters or snail mail ___________________________
Life or yearly Membership ________________________________
Do you sell eggs/chicks/adults (for directory) _____________________
Do you ship or are they pick up only ( for directory) _______________
Please list the breeds of Polish you raise ________________________
LARGE FOWL BANTAM
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