2010 MPC Application Form  

Make checks payable to:

Michigan Pigeon Club

Mail to: Sally Przybranowski
8711 Elton Hwy, Tipton, MI 49287

□ $15 Family Membership (includes both spouses & any children at home under 18 yrs of age.)

□ $10 Individual Adult Membership

□ $5 Individual Junior/Youth Membership (less than 18 years of age)

□ $15 Foreign Membership

 □ New Membership

 □ Renewal Membership

 □ Returning (lapsed) member

 □ $10 MPC Patch   

 Name(s):

 Address:

 City:

 Zip Code:

 Phone:

 E-Mail:

 □ Yes, you can e-mail my newsletter to me as a PDF file !!!!

 Pigeon Breeds I raise:

 □ Yes, I want to be listed on the members' page on our website !!!

 Comments: