MACBS Membership Application

Membership in the Mid-America Cage Bird Society is by calendar year. Your membership runs from January 1st to December 31st each year. If you have not already done so, now is the time to renew your membership or sign on.

Dues are only $10.00 for individual or family

Name:________________________________________________________ Address:_____________________________________________________ City:__________________ State:______________ Zip:____________ Phone:___________________ Pet Birds:_________________________ Birds Bred:__________________________________________________ Check One: [___] New Application --or-- [___] Application Renewal Check One: [___] Individual --or-- [___] Family Remit to:
John Thielking - 8209 Twana Dr. Urbandale, Iowa - 50322

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Mail with payment to : John Thielking - 8209 Twana Dr. Urbandale, Iowa - 50322