Membership Application
The Mission of the Cockatiel Foundation, Inc. is to provide resources to the cockatiel community,
promote education, fairness in exhibition and good fellowship among all cockatiel enthusiasts!
Name(s) _____________________________________________  and ______________________________________

Street Address  _________________________________________________________________________________

City ______________________________________________________      State _________     Zip Code ___________

E-mail ____________________________________________________       Phone
(              )                              ____         

New Member?  Yes (       )    No (       )         Renewal? Yes (       )    No (        )         Membership Number _______________

Do we have permission to publish your contact information in the CF Membership Directory (Name, phone number,
email address, and status as a pet owner/breeder/exhibitor/judge/rescue? Yes (     )     No  (     )  

Please send the
E-Chronicle newsletter to my email address to keep me updated between journals!  Yes (     )  No  (     )

Check all that may apply:  I am a  Pet Owner _____   Breeder _____    Exhibitor _____    Judge _____    Rescue _____   

I am a Youth Member and  under the age of 18    (signature)  _____________________________________________

Sponsored by: _________________________________________________________  Date ____________________

$25.00 SINGLE or DUAL Membership (one vote per person, up to two votes)
$15.00 YOUTH MEMBERSHIP (through age 17, no vote)

For Canada & Mexico: first class delivery - add $8.00 U.S.       Overseas delivery - add $20.00 U.S.


Please make checks payable to: Cockatiel Foundation, Inc.  print out this form and mail to:
Cockatiel Foundation, Inc., c/o Mrs. Betty C. Petty, 14632 Mt. Cross Road, Dry Fork, VA 24549
Copyright 2007 Cockatiel Foundation, Inc.
"Providing Resources to the Cockatiel Community"
PURPOSE: The Cockatiel Foundation, Inc. is a nonprofit corporation established for the advancement of the cockatiel, Nymphicus hollandicus
as a companion, aviary and exhibition species; to provide resources to the community and for educating members on companion bird care,
improved breeding practices, the study of color mutations, genetics, and show standards that promote the health, fertility and longevity of the
cockatiel. The Foundation supports a national adoption/placement program, youth education, closed banding and record keeping, veterinary
and avicultural research, legislative awareness as it pertains to cockatiels, consistency and fairness in exhibition and judging, a national show,
annual affiliation with the American Federation of Aviculture, Inc., and to encourage ethical conduct and constructive interactions between
its members and other aviculturists. CF is inclusive of all aspects of cockatiel culture, from the hobbyist breeder and first time cockatiel owner
to the professional aviculturist and advanced exhibitor.
Founded June 3, 2007
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POSTMARKED THROUGH DECEMBER 31, 2007!