PNPA Membership Application 2009-2010
Name_________________________________________________
Mailing Address_________________________________________
_________________________________________
Phone #___________________ Fax #_______________________
Email_________________________________________________
How would you prefer to receive information____________________
Are you a (indicate all categories that apply to you)
Producer:
poultry
eggs
turkeys
game birds
rabbits
other (that may be significant)
Consumer:
poultry
eggs
turkeys
game birds
rabbits
Do you have any special skills that you would be willing to donate to
this association? _______________________________________________________________________________________
_______________________________________________________________________________________
Do you have any particular concerns that you think we should address?
_______________________________________________________________________________________
_______________________________________________________________________________________
Information given on this application will not be released to
any other person or organization without the express permission of the
applicant.
Please indicate any of the above that you want to be made available on our web site or other PNPA information bulletins
______________________________________________________________________________________
Contact for information: Megan D’Arcy (250) 847-8832, Anita Trenerry (250) 877-1745 or Alfred Horning (250) 698-7692
web-site: www.pnpa.ca
Mailing address: 20535 Kitseguecla Loop Road, Smithers, B.C., V0J 2N1
Yearly membership fee: $20
payable to: Pacific Northwest Poultry Association