COASTAL ALABAMA PARROTHEAD CLUB
www.calph.org
Membership Application

Applicants Must Be 21

New Member______Renewing_____
Single - $15.00____Couple - $25.00_____

 

Name____________________________________Today's Date____________
Address____________________________City/St.________________Zip__________
Phone HM______________________WK__________________EMAIL____________

BirthdayM/D/Y___________________BirthdayM/D/Y________________

Occupation___________________________________________

Keets Name__________________________Birthday M/D/Y_____________
Keets Name__________________________Birthday M/D/Y_____________
Keets Name__________________________Birthday M/D/Y_____________

 

Would you like to purchase a club T-shirt?
Sizes M L and XL are $17.00
Sizes XXL and XXX are $18.00
Please circle one or indicate how many_______.

We are in the process of developing a membership directory.
Would you like your address and phone number placed on the listing that will be distributed to all club members.  Yes___No___.
Would you only like your phone number be released to the Club Phone Committee Coconut Telegraph. Yes____No____

Can we contact you to help out at club events? Yes____No____

I am interested in HELPING with the following:
(check as many as apply)

 

Newsletter____                    PH Trips___                         Phone COmmittee____
Public Relations___              Family Events___                Charity Events____
Artistic___                           Phlocking Actiities____        Soliciting Merchant Support____


Do you have any resources, which would be of help to the club? Please explain>








The Coastal Alabama Parrothead Club is a nonprofit organization for people interested in Jimmy Buffett's music, books, and tropical spirit. Our goal is to assit in environmental and coummunity causes and to provide members with a means of social attrations and have a whole lot of FUN doing it.

Annual dues are $15.00 per single, $25.00 per couple. Dues payable by December 31st of each year. Membership entitles you to Club Name Tag, monthly newsletter, electronic bulletins, phone chain and the opportunity to go to the Meetings Of The Minds. All which include our phlockings, community events and much more.

Make checks payable to the Coastal Alabama Parrothead Club and mail to:

Coastal Alabama Parrothead Club
P. O. Box 6992
Mobile, Al. 36660-0992