Membership Application

Day Month Year
Name
Street
City
State/Provence
Country
Zip/Country Code
Phone Fax
Email
Web Site http://
I sell doves: Yes No
You may publish my phone # in the ADA Membership Directory: Yes No
Membership: New Renewal
$20.00 Regular
$30.00 International (outside US or Canada)
$16.00 Senior Citizen (60 years and older)
$10.00 Junior (17 years and younger)
$21.50 Family (husband/wife, father/son, etc., same address)

Please list which doves you keep in the box below. For Ringnecks & Diamonds please include colors.

If you are planning to pay online then please

If you are planning to mail in payment then please PRINT THIS FORM and send it with payment to:

American Dove Association
7037 Haynes Road
Georgetown, IN 47122