Become a Member
of the ASA


To become a member of the ASA, print and complete this application, and mail to the address below.

Avicultural Society of America

Membership Application

Membership is $25 per year starting with the month of application, payable in US Funds.
We do not take credit cards. A sample copy of the Bulletin will be sent upon receipt of $1 to
cover handling and postage. All membership information is confidential. We do not sell, lend or give out membership lists.

Name:________________________________________________________________

Business or aviary name:___________________________________________________

Mailing Address:_________________________________________________________

City:________________________________ State:________ Zip:__________________

Country:_______________________________________________________________

Phone: (______)________________________FAX:(______)______________________

What type of birds do you have?

______________________________________________________________________

What is your main occupation or skill?

______________________________________________________________________

Other hobbies or interests?

______________________________________________________________________

Would you be willing to write articles for the Bulletin?

______________________________________________________________________

Mail Membership Request To:
Helen Hanson
PO Box 5516
Riverside, CA 92517-5516
Voice Phone: (909) 780-4102
Fax: (909) 789-9366