Registration Form

While many of the PEAC seminars are required for adoption, they can also be attended by people in search of information about their companion birds.

Print this page, fill-in the blanks, and return it with your check or credit card information to:

Parrot Education & Adoption Center
P.O. Box 600423
San Diego, CA 92160
Fax: (909) 563-8418

Full Name:
Mailing Address:
City, State, ZIP, Country:
Phone and e-mail:
Credit card type: [  ] VISA       [  ] Mastercard       [  ] American Express  [  ] Discover
Credit card number:
Expiration date (MM/YYYY):

Signature:


Date

Location and Seminar
Number
Attending
Amount
Due
$
$
$
$
Total Amount
Enclosed
$
Seminar fees (per person, per day) IN ADVANCE AT THE DOOR
PEAC members: FREE $5.00
Non-members: $10.00 $15.00

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