LOWER ALABAMA PARROT HEAD CLUB
Membership Application
New Member__________ or Renewing Member_________
The Lower Alabama Parrot Head Club is a nonprofit organization whose sole
purpose is to assist in community outreach programs and to provide for its
members a means of social interaction and meeting people interested in Jimmy
Buffett's music & tropical spirit.
Name__________________________________ Birthday__________
E-mail_____________________ Cell Phone_____________________
Name__________________________________ Birthday___________
E-mail_____________________ Cell Phone_____________________
Address__________________________________________________
City_________________ State_____________ Zip_______________
Home Phone_____________________
Do you want to receive club updates via email _____Y_____N
What special talents or resources do you have that would help the club?______
_________________________________________________________________
I am interested in the helping with the following activities:
____Parties ___Writing for Newsletter
____House Parties ___Beach Clean Ups
____Club Promotion ___Public Relations
____Local Community Service ___Soliciting Merchant Support
____Charity Events
Other_____________________________________________________________
Annual Dues: $15 Single Membership, $25 Couple Membership
Dues are not deductible as a charitable contribution for Federal Income Tax
Purpose.
Please make check payable to the Lower Alabama Parrot Head Club.
Mail: Lower Alabama Parrot Head Club
159 Parkway South
Gulf Shores, Al. 36542
The Obligatory Fine Print:
Each member of the Lower Alabama Parrot Head Club is responsible for his or her
actions and behavior, whether negative or positive. Membership in the club does
not give the member permission to use the word "Parrot Head", Jimmy Buffett's
name, song titles, lyrics, names of businesses or other trademarked, copyrighted
or reserved material owned by Jimmy Buffett; nor can any member use the logo of
the Lower Alabama Parrot Head Club, or Parrot Heads in Paradise, Inc. We are not
associated with HK Management, MCA Records, Island Records, or Margaritaville
Records. All clubs are required to comply with the guidelines set forth by
Parrot Heads in Paradise, Inc. Since Parrot Heads are known to enjoy a cold one,
we support using a designated driver.
Signature: ______________________ Date________________
Signature: ______________________ Date________________
****************************************************************************
FOR CLUB USE ONLY
TOTAL AMT PD$_________CHECK___CASH__DATE__________
****************************************************************************
Information to be published on the Club Roster
Please check the information that you would LIKE to be published on the roster.
This information WILL NOT be shared with anyone outside of the organization.
________________ e-mail
_____________ snail mail
______________ land line
_____________ cell phone
|