Connecticut Parrot Society - Online Membership Registration

Online Membership Registration

Fields with a * are required

Membership Type New Member Renewal
Member Name First * Last *
Address
Street Address *

Address Line 2

City *

State *

Postal / Zip Code *

Country *
Phone - (###) - ### ####
Email *
List the type(s) of parrots that you own *
How did you hear about the Connecticut Parrot Society, Inc? *
Do you have any special skills you would like to share with CPS (computer, legal, photography, fundraising, marketing, art, or other)?
Please list your family member names and ages (Family Membership Only)
Would you be interested in volunteering for CPS? Yes No
Membership Fees Single (one adult only) $25.00 Family (2 adults and children) $30.00
Memberships will run from January 1st to December 31st.
Newsletters and Announcements (sent by email to membership): Yes, I wish to receive newsletters and announcements by email.