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Membership Application
Ocala Parrotheads in Paradise Club
MEMBERSHIP APPLICATION 2009
OCALA PARROT HEAD CLUB
Mail to:
Carol Smith
7895 NW 60 Ave
Ocala, FL 34482
(or bring this application to the next meeting)
Name ________________________________________________________________________
Address _______________________________________________________________________
City______________________________________ State _____ Zip ______________________
Home phone _________________________________Cell phone __________________________
Email __________________________________________________ Birthday ______/______ month / day
Who got you into this mess?? ______________________________________
Was it the website? (Circle one) Yes No There’s a website?
Is it OK to print your name, address and embarrassing pictures to be used in conjunction with your current affiliation with the Ocala Parrot Heads?
(Circle one) Sure No, I’m in the witness protection program
Annual dues are $20 per member. ($25 if you would like a club shirt, Tank or Tee). Make your check payable to: Ocala Parrot Head Club.
Shirt Size: (circle one) T-shirt size M L XL XXL OR Tank top size S M L XL
CODE OF CONDUCT:
While we are
primarily a social organization, and while we do "Party With A Purpose" we must
do so responsibly.
It is the intention of the "Ocala Parrot Head Club (OPHC)” to provide social and
charitable activities for the enjoyment and benefit of all our members, guests,
hosts and charities. All members of the organization shall be required to treat
fellow members, guests and hosts and their personal property with respect.
Members also agree to abide by all local, state and federal laws (including but
not limited to) governing misuse of personal privileges, personal property and
controlled substances.
Members of OPHC, by virtue of their membership agreement, agree to demonstrate
personal responsibility for their words, actions and deeds and not to exhibit
behaviors that are harmful to themselves and other members, guests and hosts or
their personal property. We seek to provide a pleasant atmosphere in which to
share our common love of the music and tales of Jimmy Buffett and to further the
charitable ideals that we seek to uphold.
OCPH will not condone behavior contrary to our objectives nor that which we feel
is harmful or injurious to others. By virtue of your membership in the “Ocala
Parrot Head Club" you have indeed agreed to "Party with a Purpose" in a most
responsible fashion!
____________________________________________ __________________
NAME DATE
MEMBERSHIP DUES ARE NOT DEDUCTIBLE AS A CHARITABLE CONTRIBUTION FOR FEDERAL INCOME TAX PURPOSES.
