Join or Renew | Parrot Heads of Puget Sound

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PHoPS New and Renewing Membership Form

* A red asterisk indicates a required field.

I Want To . . . *

Join PHoPS as a New Member
Renew my PHoPS Membership

Membership Options and Prices *

New Single Membership $20
New Couple Membership $40

Please select your membership option. Prices are in US Dollars.

Membership Options and Prices *

Renewal Single Membership $20
Renewal Couple Membership $40

Please select your membership option. Prices are in US Dollars.

Member Name *

First

Last

Member Nickname

Your Parrot Head Nickname for your Badge (if you have one).

Second Member Name *

First

Last

Second person's name in couple membership.

Second Member Nickname

Your Parrot Head Nickname for your Badge (if you have one).

Member Email *

Confirm Email

Second Member Email *

Confirm Email

Second person's email address in couple membership.

Member Phone *

Member Phone Is ... *

Cell (preferred)
Home
Other

Type of "Other" Phone *

Second Member Phone *

Second person's phone in couple membership.

Second Member Phone Is ... *

Cell (preferred)
Home
Other

Type of "Other" Phone *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Member Birthday

Second Member Birthday

Second person's birthday in couple membership.

Optional Information

New members, we would like to get to know you a little better. Renewing members, you may answer these if you wish. This section is all optional. The choice is yours.

Occupation?

Do you have any 'keets' (children under 18yo)?

Favorite Interests & Hobbies?

Favorite Hangouts & Drinks?

Favorite Trop-Rock Songs?

Favorite Charities?

How did you hear about us?

By Submitting this membership form . . . *

I have read, and agree to adhere to, the PHoPS and PHiP By-Laws.

CLICK HERE to view the PHoPS By-Laws

(a separate window will open)

CLICK HERE to view the PHiP By-Laws

(a separate window will open)

The Fine Print Checkbox *

I have read, understand, and agree to the PHoPS "Fine Print".

CLICK HERE to view the PHoPS "Fine Print"

(a separate window will open)

Hold Harmless *

I agree to hold harmless the club, its Board of Directors, members, appointees and volunteers. The club, our officers, members, appointees, and volunteers are not liable for any injury, loss or damage to persons or personal property.

Behavior *

I understand that each member of the Parrot Heads of Puget Sound is responsible for their own, their children's, and their guests actions and behaviors, positive or negative. And I understand that membership can be revoked at any time.

Information *

I swear that the information provided by me is accurate and true to the best of my knowledge. I understand that this application does not guarantee membership in the Parrot Heads of Puget Sound.

Payment Options *

I will be paying online via PayPal (preferred method)
I will make arrangements to pay in person

Please Note: PHoPS can no longer accept checks or mail-in payments. ~ We request all transactions go through the online payment process. ~ You do not need a PayPal account to use that payment service. ~ If necessary, you may arrange to pay in person using cash.

You do not need a PayPal account to pay using PayPal.

The PHoPS Membership Director or Treasurer will be in touch with you soon to verify your membership application and provide you with in-person payment instructions.

Your Total Will Be:

Item Quantity Qty Total

There are no products selected.

Membership Options and Prices - New Single Membership $20 1 $20.00

Membership Options and Prices - New Couple Membership $40 1 $40.00

Membership Options and Prices - Renewal Single Membership $20 1 $20.00

Membership Options and Prices - Renewal Couple Membership $40 1 $40.00

Total $0.00

$0.00

Prices are in US Dollars.

Comment or Message

When you click on the Submit button below, you will be taken to the payment page.

PHoPS New and Renewing Membership Form

Optional Information

Northwest Latitudes, Laid-Back Attitudes