Join or Renew Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form. – Step 1 of 6PHoPS New and Renewing Membership FormWelcome to the Parrot Heads of Puget Sound! * Red Asterisks indicates required fields. I Want To . . . *Join PHoPS as a New MemberRenew my PHoPS MembershipNextMembership Options and Prices *New Single Membership $20New Couple Membership $40Please select your membership option. Prices are in US Dollars.Membership Options and Prices *Renewal Single Membership $20Renewal Couple Membership $40Please select your membership option. Prices are in US Dollars.PreviousNextMember Name *FirstLastMember NicknameYour Parrot Head Nickname (if you have one) for your Club Badge.Second Member Name *FirstLastSecond person’s name in couple membership.Second Member NicknameYour Parrot Head Nickname (if you have one) for your Club Badge.Member Email *EmailConfirm EmailSecond Member Email *EmailConfirm EmailSecond person’s email address in couple membership.Member Phone *Member Phone Is … *Cell (preferred)HomeOtherType of "Other" Phone *Second Member Phone *Second person’s phone in couple membership.Second Member Phone Is … *Cell (preferred)HomeOtherType of "Other" Phone *Address *Address Line 1Address Line 2CityState / Province / RegionPostal CodeAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryMember BirthdayMM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Second Member BirthdayMM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Second person’s birthday in couple membership.PreviousNext Information did . Optional InformationNew 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)?Children of PHoPS Members are included with your membership in our club.Favorite Interests & Hobbies?Favorite Hangouts & Drinks?Favorite Trop-Rock Songs?Favorite Charities?How did you hear about us?PreviousNextBy 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.PreviousNextPayment Options *I will be paying online now via PayPal (our preferred method)I will make arrangements to pay in personPlease 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. Comment or MessageYour Total Will Be: Order Summary Item Quantity Qty Total There are no products selected. Membership Options and Prices – New Single Membership $201$20.00Membership Options and Prices – New Couple Membership $401$40.00Membership Options and Prices – Renewal Single Membership $201$20.00Membership Options and Prices – Renewal Couple Membership $401$40.00Total$0.00 $0.00Prices are in US Dollars.Select Your Method Of Payment *PayPal CheckoutCredit CardCard NumberExpiration DateSecurity CodeCard Holder NameYou can choose to pay with your PayPal account, or use your credit card here directly without signing in. It all goes through PayPal.Submit Your Membership Application and Payment OnlineWhen you submit your payment, your membership application and information will automatically be sent in as well. All payments are processed through PayPal. We do not store payment information. You will receive an email copy of your membership application information from this web site. PayPal will send you a receipt for your payment.Submit Your Membership Application and Pay In PersonWhen you click on the Submit button below, your membership application, information and request to make your payment in person will be sent to our club’s Membership Director and Treasurer. You will receive an email copy of your membership application information from this web site.After your membership application is received, the PHoPS Membership Director or Treasurer will be in touch with you to verify your membership application information and provide you with in-person payment instructions. Please Note: Your membership in our club will not begin until payment is received. Submit
