band-order-form

                                         2009 BAND ORDER FORM

NAME: ____________________________________________________________________

ADDRESS: ________________________________________________________________

CITY: _____________________________________________   STATE: _______________

ZIP: _________________________    PHONE: (        )______________________________

EMAIL: ___________________________________________________________________

CELL PHONE: (        ) ________________________________________________________

Please select a personal band code of up to three (3) letters, numbers, or a combination of both letters and
numbers (for example, 21B, 1B2, A2B). If this is your first order, please indicate an alternate band code as a
second choice, should your first choice be unavailable.

If your first order of the year starts with 01-25 (whether standard or large size bands), then your second order of
that same year would begin with number 26. If you order both standard or large size bands within the same
order, then standard size would begin 01-25 and the large size would continue with number 26-51. Any
numbers can be used each year, however, they cannot be duplicated within that same year.

PRINT OUT and Send by POSTAL MAIL to:

Cockatiel Foundation, Inc.
Leg Band Chair

                                                BAND PRICES

  Standard size:   25……….$ 8.00     Jumbo Size: 25……....$ 9.00
                                50 ......…..$14.00                              50...…….$15.00
                              100…….…$26.00                            100…........$28.00

   *** NOTE: Jumbo size bands are 1/32 larger than standard size and
                      are suited for the larger size exhibition cockatiels.

                                 Make check or money order payable to:
                                   COCKATIEL FOUNDATION, INC.

Band Code (First choice): _____________________   Second Choice: _________________

Standard Size Bands: Quantity: ___________ Year: ___________ Price:   $___________

Jumbo Size Bands:      Quantity: ___________    Year: ___________ Price: $___________

Begin Bands with Number: ___________   TOTAL AMOUNT ENCLOSED: $______________

Cockatiel Foundation, Inc.