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) & CVV (located on the back of your card):
Signature:

Date	Location and Seminar	Number Attending	Amount Due
			$
			$
			$
			$
		Total Amount Enclosed	$